Individual
STACEY A SUECOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MMC - DEPT OF PEDIATRICS, 111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-5312
Mailing address
1233 PINCHOT PL, BRONX, NY 10461-1826
(718) 920-5312
(718) 741-2237
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
197138
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
197138
NY
Other
Enumeration date
10/31/2006
Last updated
11/27/2019
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