Individual
MS. SUSAN MARIE POLCYN-DORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-6395
Mailing address
62 SABLERIDGE CT, SPENCERPORT, NY 14559-2100
(585) 352-1035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6224
NY
363AM0700X
Medical Physician Assistant
Primary
006224
NY
Other
Enumeration date
07/19/2006
Last updated
07/05/2023
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