Organization
MICHAEL C SUSCO, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SUSCO MD (PSYCHIATRIST)
(585) 919-0014
Entity
Organization
Contact information
Practice address
42 N MAIN ST, CANANDAIGUA, NY 14424-1446
(585) 919-0014
(585) 393-0014
Mailing address
42 N MAIN ST, CANANDAIGUA, NY 14424-1446
(585) 919-0014
(585) 393-0014
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
168413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01361962
—
NY
Enumeration date
04/18/2016
Last updated
04/18/2016
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