Individual
SUSANA H FUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 MINEOLA BLVD, SUITE 10 LOWER LEVEL, MINEOLA, NY 11501-4064
(516) 663-4510
(516) 663-3698
Mailing address
GPO BOX 27686, NEW YORK, NY 10087-7686
(888) 220-1235
(865) 450-9374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
171386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1138994
—
NY
Enumeration date
06/13/2006
Last updated
12/27/2010
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