National Provider Identifier

Susan M Szimonisz, MD

Susan M Szimonisz, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 875-2904.

NPI 1285722462Buffalo, NYInternal Medicine Physician

Profile Overview

NPI
1285722462
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
October 11, 2006
Last Updated
February 21, 2012

Practice Location

  • 155 Lawn Ave
  • Buffalo, NY 14207-1816

Phone: (716) 875-2904

Specialties

  • Internal Medicine Physician (207R00000X)
  • Pediatrics Physician (208000000X)
Full Record
NPI
1285722462
Entity Type
Individual
Last Name
Szimonisz
First Name
Susan
Middle Name
M
Credential
MD
Mailing Street Address
155 Lawn Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-1816
Mailing Country
US
Mailing Phone
(716) 875-2904
Mailing Fax
(716) 875-6717
Practice Street Address
155 Lawn Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-1816
Practice Country
US
Practice Phone
(716) 875-2904
Practice Fax
(716) 875-6717
Enumeration Date
October 11, 2006
Last Updated
February 21, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X), Pediatrics Physician (208000000X)
Other Identifiers
2593959 (NY, Ghi Ppo), 040426035682 (NY, Fidelis), 82659 (NY, Ghi Hmo), 00025144201 (NY, Univera), 000526173001 (NY, Bc/Bs), 02089201 (NY), 0411067 (NY, Independent Health), 150523-DL (NY, Preferred Care)