Individual
SUMAN MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5100 W TAFT RD, SUITE 3G, LIVERPOOL, NY 13088-3807
(315) 452-2968
(315) 452-2977
Mailing address
5100 W TAFT RD, SUITE 3G, LIVERPOOL, NY 13088-3807
(315) 452-2968
(315) 452-2977
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
161027
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00931526
—
NY
Enumeration date
04/05/2006
Last updated
11/22/2011
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