National Provider Identifier
Michael Susco, M.D.
Michael Susco, M.D. is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Farmington, NY and a listed phone number of (585) 396-4190.
Profile Overview
- NPI
- 1285609131
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- February 22, 2006
- Last Updated
- March 16, 2017
Practice Location
- 1386 Hathaway Dr
- Suite A
- Farmington, NY 14425-8973
Phone: (585) 396-4190
Mailing Address
- 241 North RD
- Poughkeepsie, NY 12601-1154
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1285609131
- Entity Type
- Individual
- Last Name
- Susco
- First Name
- Michael
- Credential
- M.D.
- Mailing Street Address
- 241 North RD
- Mailing City
- Poughkeepsie
- Mailing State
- NY
- Mailing ZIP Code
- 12601-1154
- Mailing Country
- US
- Mailing Phone
- (845) 431-8853
- Practice Street Address
- 1386 Hathaway Dr
- Practice Address Line 2
- Suite A
- Practice City
- Farmington
- Practice State
- NY
- Practice ZIP Code
- 14425-8973
- Practice Country
- US
- Practice Phone
- (585) 396-4190
- Enumeration Date
- February 22, 2006
- Last Updated
- March 16, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)
- Other Identifiers
- 01361962 (NY)