NPI | 1780752634 |
---|---|
Former Name | AMY E SUCHESKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NY 267020-1) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: ME MD18314) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2021-06-21 |