Individual
MICHAEL SUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1386 HATHAWAY DR, SUITE A, FARMINGTON, NY 14425-8973
(585) 396-4190
Mailing address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 431-8853
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
168413-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01361962
—
NY
Enumeration date
02/22/2006
Last updated
03/16/2017
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