Individual
DR. KATIE GOONAN SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 ALEXANDER ST, SUITE 4100, ROCHESTER, NY 14607-4005
(585) 922-8230
(585) 922-8260
Mailing address
222 ALEXANDER ST, SUITE 4100, ROCHESTER, NY 14607-4005
(585) 922-8230
(585) 922-8260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
269979
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036992600
—
MD
Enumeration date
06/18/2007
Last updated
03/25/2015
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