National Provider Identifier
Susan Beith Soboroff, M.D.
Susan Beith Soboroff, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 330-1254.
Profile Overview
- NPI
- 1700036654
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- September 29, 2008
- Last Updated
- September 29, 2008
Practice Location
- 220 S Fulton St
- Ithaca, NY 14850-3306
Phone: (607) 330-1254
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1700036654
- Entity Type
- Individual
- Last Name
- Soboroff
- First Name
- Susan
- Middle Name
- Beith
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 220 S Fulton St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3306
- Mailing Country
- US
- Mailing Phone
- (607) 330-1254
- Practice Street Address
- 220 S Fulton St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3306
- Practice Country
- US
- Practice Phone
- (607) 330-1254
- Enumeration Date
- September 29, 2008
- Last Updated
- September 29, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)