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Kelly I Suchman

Internal Medicine in Manhasset, NY. Individual provider (NPI-1).

NPI number1164059754
StatusActive
Last updated in NPPESJun 9, 2023

Details

NPI
1164059754
Entity type
Individual (NPI-1)
Name
Kelly I Suchman
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 24, 2020
Certification date
Jun 9, 2023
Last updated
Jun 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine32196201NYYes

Practice location

300 Community Dr
Manhasset, NY 11030-3816

Phone 516-562-0100

Mailing address

300 Community Dr
Manhasset, NY 11030-3816

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