National Provider Identifier
Katie Goonan Sussman, M.D.
Katie Goonan Sussman, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 922-8230.
Profile Overview
- NPI
- 1316142672
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- June 18, 2007
- Last Updated
- March 25, 2015
Practice Location
- 222 Alexander St
- Suite 4100
- Rochester, NY 14607-4005
Phone: (585) 922-8230
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1316142672
- Entity Type
- Individual
- Last Name
- Sussman
- First Name
- Katie
- Middle Name
- Goonan
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 222 Alexander St
- Mailing Address Line 2
- Suite 4100
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-4005
- Mailing Country
- US
- Mailing Phone
- (585) 922-8230
- Mailing Fax
- (585) 922-8260
- Practice Street Address
- 222 Alexander St
- Practice Address Line 2
- Suite 4100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-4005
- Practice Country
- US
- Practice Phone
- (585) 922-8230
- Practice Fax
- (585) 922-8260
- Enumeration Date
- June 18, 2007
- Last Updated
- March 25, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 036992600 (MD)