Individual
DR. HAL I. SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3 GUTHRIE DR, CORNING, NY 14830-3696
(607) 973-8000
(607) 973-8009
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
202336
NY
207Y00000X
Otolaryngology Physician
OS009427L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001534200001
—
PA
05
—
01635083
—
NY
01
—
040016277
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
02/23/2006
Last updated
03/30/2021
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