Individual
MARK H. SUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 N. MIDLAND AVENUE, NYACK HOSPITAL, NYACK, NY 10960
(845) 348-2862
Mailing address
43 KENSICO DRIVE, 2ND FLOOR, MOUNT KISCO, NY 10549-1009
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
233039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02888177
—
NY
01
—
P00608762
RAIL ROAD MEDICARE
NY
Enumeration date
05/02/2007
Last updated
10/30/2008
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