National Provider Identifier
Suzan S Fenstermacher, RPA-C
Suzan S Fenstermacher, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Corning, NY and a listed phone number of (607) 684-6115.
Profile Overview
- NPI
- 1023203247
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 11, 2007
- Last Updated
- December 14, 2020
Practice Location
- 88 Tioga Ave.
- Suite 102
- Corning, NY 14830
Phone: (607) 684-6115
Mailing Address
- 2977 Westinghouse RD
- Horseheads, NY 14845-8120
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1023203247
- Entity Type
- Individual
- Last Name
- Fenstermacher
- First Name
- Suzan
- Middle Name
- S
- Name Prefix
- MS.
- Credential
- RPA-C
- Mailing Street Address
- 2977 Westinghouse RD
- Mailing City
- Horseheads
- Mailing State
- NY
- Mailing ZIP Code
- 14845-8120
- Mailing Country
- US
- Mailing Phone
- (607) 684-6115
- Mailing Fax
- (607) 684-6120
- Practice Street Address
- 88 Tioga Ave.
- Practice Address Line 2
- Suite 102
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830
- Practice Country
- US
- Practice Phone
- (607) 684-6115
- Practice Fax
- (607) 684-6120
- Enumeration Date
- September 11, 2007
- Last Updated
- December 14, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 14, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)