Individual
AMY E SUCHESKI-DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-5155
Mailing address
110 HO PLZ, ITHACA, NY 14853-3102
(607) 255-5155
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
267020-1
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
MD18314
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30209644
—
NH
Enumeration date
11/30/2006
Last updated
06/21/2021
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