Individual
HARY SUSEELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4068 ALBANY POST RD, HYDE PARK, NY 12538-3900
(845) 229-2123
(845) 229-6313
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-4993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256391
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
256391
NY
207RP1001X
Pulmonary Disease Physician
Primary
256391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03766896
—
NY
Enumeration date
06/21/2010
Last updated
09/13/2017
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