National Provider Identifier

Suzanne Teresa Corsall

Suzanne Teresa Corsall is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1588145783Victor, NYSpecialist

Profile Overview

NPI
1588145783
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
August 24, 2018
Last Updated
August 24, 2018

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 201 Shelford RD
  • Rochester, NY 14609-5656

Specialties

  • Specialist (174400000X)
Full Record
NPI
1588145783
Entity Type
Individual
Last Name
Corsall
First Name
Suzanne
Middle Name
Teresa
Mailing Street Address
201 Shelford RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-5656
Mailing Country
US
Mailing Phone
(585) 622-2283
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
August 24, 2018
Last Updated
August 24, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)