National Provider Identifier
Susan Clymo
Susan Clymo is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 248-9098.
Profile Overview
- NPI
- 1407123524
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- November 17, 2011
- Last Updated
- December 18, 2013
Practice Location
- 55 Ayrault RD
- Fairport, NY 14450-2865
Phone: (585) 248-9098
Mailing Address
- 20 Peachtree Ct
- Suite 105
- Holbrook, NY 11741-4616
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1407123524
- Entity Type
- Individual
- Last Name
- Clymo
- First Name
- Susan
- Mailing Street Address
- 20 Peachtree Ct
- Mailing Address Line 2
- Suite 105
- Mailing City
- Holbrook
- Mailing State
- NY
- Mailing ZIP Code
- 11741-4616
- Mailing Country
- US
- Mailing Phone
- (631) 467-3700
- Mailing Fax
- (631) 467-0928
- Practice Street Address
- 55 Ayrault RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-2865
- Practice Country
- US
- Practice Phone
- (585) 248-9098
- Practice Fax
- (585) 924-7049
- Enumeration Date
- November 17, 2011
- Last Updated
- December 18, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)