Dr. Susan Mary Manson, MD
Internal Medicine in Fayetteville, NY. Individual provider (NPI-1).
NPI number1467407635
StatusActive
Last updated in NPPESNov 15, 2022
Details
- NPI
- 1467407635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan Mary Manson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2006
- Certification date
- Nov 15, 2022
- Last updated
- Nov 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 314541 | NY | Yes |
| 207R00000X | Internal Medicine | ME100442 | FL |
Practice location
510 Towne DrFayetteville, NY 13066-1331
Phone 315-627-0448 · Fax 315-627-0554
Mailing address
2547 Lakefair DrTallahassee, FL 32317-7002
Phone 850-491-2326
Other practice locations
5479 Lake Rd
Tully, NY 13159-9402
Tully, NY 13159-9402
Phone 850-491-2326
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All 7 Internal Medicine Physician providers in Fayetteville · All 569 providers in Fayetteville
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