National Provider Identifier

Susan Baldassari, M.D.

Susan Baldassari, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in North Tonawanda, NY and a listed phone number of (716) 220-8002.

NPI 1245270388North Tonawanda, NYInternal Medicine Physician

Profile Overview

NPI
1245270388
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
June 07, 2006
Last Updated
April 17, 2024

Practice Location

  • 415 Tremont St Ste 3
  • North Tonawanda, NY 14120-6135

Phone: (716) 220-8002

Mailing Address

  • PO Box 488
  • Buffalo, NY 14240-0488

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1245270388
Entity Type
Individual
Last Name
Baldassari
First Name
Susan
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
PO Box 488
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14240-0488
Mailing Country
US
Mailing Phone
(716) 852-4772
Practice Street Address
415 Tremont St Ste 3
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-6135
Practice Country
US
Practice Phone
(716) 220-8002
Enumeration Date
June 07, 2006
Last Updated
April 17, 2024
Sex
Female
Sole Proprietor
No
Certification Date
April 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)