Individual
RICHARD D SUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 PARK AVE, MANHASSET, NY 11030-2416
(516) 365-2208
Mailing address
331 PARK AVE, MANHASSET, NY 11030-2416
(516) 365-2208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
144196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
11/02/2006
Last updated
08/30/2010
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