Individual provider · NPI-1

Susan Amico, D.P.M.

Podiatrist · Staten Island, NY

NPI number1457367724
StatusActive
Last updated in NPPESFeb 13, 2022

Details

NPI
1457367724
Entity type
Individual (NPI-1)
Name
Susan Amico
Credential
D.P.M.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 31, 2006
Certification date
Feb 13, 2022
Last updated
Feb 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X PodiatristN003694NYYes
213ES0131X N003694NY

Practice location

62 Seguine Ave Ste 2
Staten Island, NY 10309-3723

Phone 718-317-7740 · Fax 718-948-1090

Mailing address

62 Seguine Ave Ste 2
Staten Island, NY 10309-3723

Phone 718-317-7740

Other practice locations

9731 4th Ave
Brooklyn, NY 11209-8135

Phone 718-836-1800 · Fax 718-836-7531

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Podiatrist providers in Staten Island, NY