National Provider Identifier
Suzanne M Picinich, DO
Suzanne M Picinich, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Lackawanna, NY and a listed phone number of (716) 822-5944.
Profile Overview
- NPI
- 1467466730
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 29, 2006
- Last Updated
- January 28, 2008
Practice Location
- Olv Family Care Center
- 227 Ridge Road
- Lackawanna, NY 14218
Phone: (716) 822-5944
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1467466730
- Entity Type
- Individual
- Last Name
- Picinich
- First Name
- Suzanne
- Middle Name
- M
- Credential
- DO
- Mailing Street Address
- Olv Family Care Center
- Mailing Address Line 2
- 227 Ridge Road
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218
- Mailing Country
- US
- Mailing Phone
- (716) 822-5944
- Mailing Fax
- (716) 822-3937
- Practice Street Address
- Olv Family Care Center
- Practice Address Line 2
- 227 Ridge Road
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218
- Practice Country
- US
- Practice Phone
- (716) 822-5944
- Practice Fax
- (716) 822-3937
- Enumeration Date
- July 29, 2006
- Last Updated
- January 28, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- RB6164 (NY, Medicare), 00051281006 (NY, Community Blue), 0107096 (NY, Independent Health), 10138103 (NY, Univera)