Individual
DR. HEESUCK SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26 RESEARCH WAY, EAST SETAUKET, NY 11733
(631) 444-0580
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
185800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256284
—
NY
01
—
5008089
AETNA
NY
01
—
90F532
EMPIRE BC.BS
NY
Enumeration date
07/12/2006
Last updated
07/08/2007
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