Individual
DR. SUZANNE SUMIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-4673
(513) 536-0609
Mailing address
30 CRESCENT AVENUE, SARATOGA SPRINGS, NY 12866
(518) 584-3600
(518) 583-9301
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35.071636
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2447954
—
OH
Enumeration date
10/27/2006
Last updated
09/13/2017
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