Individual
CORINA M. SUCIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL, MOUNT KISCO, NY 10549-3417
(914) 666-1680
(914) 666-1965
Mailing address
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL-MEDICAL AFFAIRS OFFICE, MOUNT KISCO, NY 10549-3417
(914) 666-1680
(914) 666-1965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
240589
NY
208M00000X
Hospitalist Physician
Primary
240589
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0609150000006
FIDELIS CARE OF NY
—
01
—
10112897-U104
CDPHP PROVIDER ID & GRP #
—
01
—
1344497
AETNA PPO PIN
NY
01
—
3889919
MVP HEALTHPLAN
—
01
—
3C5202
HEALTHNET GRP ID
—
01
—
415AG1
EMPIRE BC-BS
—
01
—
7494834
AETNA HMO PIN
—
01
—
P00349190
RAILROAD MEDICARE PIN
—
Enumeration date
06/28/2006
Last updated
01/30/2020
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