Individual
DR. SUSAN S EMANUELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 686-7654
Mailing address
75 N COUNTRY RD STE A, PORT JEFFERSON, NY 11777-2119
(631) 686-7654
(631) 727-6753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
202139
NY
207RH0003X
Hematology & Oncology Physician
Primary
202139
NY
208M00000X
Hospitalist Physician
202139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01677150
—
NY
Enumeration date
12/06/2006
Last updated
11/24/2025
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