National Provider Identifier
Micah Suckow I
Micah Suckow I is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Akron, NY and a listed phone number of (716) 572-6448.
Profile Overview
- NPI
- 1003562992
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 01, 2022
- Last Updated
- March 01, 2022
Practice Location
- 7081 Maple RD
- Akron, NY 14001-9624
Phone: (716) 572-6448
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1003562992
- Entity Type
- Individual
- Last Name
- Suckow
- First Name
- Micah
- Name Prefix
- Mr.
- Name Suffix
- I
- Mailing Street Address
- 7081 Maple RD
- Mailing City
- Akron
- Mailing State
- NY
- Mailing ZIP Code
- 14001-9624
- Mailing Country
- US
- Mailing Phone
- (716) 572-6448
- Practice Street Address
- 7081 Maple RD
- Practice City
- Akron
- Practice State
- NY
- Practice ZIP Code
- 14001-9624
- Practice Country
- US
- Practice Phone
- (716) 572-6448
- Enumeration Date
- March 01, 2022
- Last Updated
- March 01, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 19, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)