Individual
ERIC SUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(718) 992-7669
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312288
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2023
Last updated
01/14/2026
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