National Provider Identifier
Suzanne Kochweser Anderson, MD
Suzanne Kochweser Anderson, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 272-0212.
Profile Overview
- NPI
- 1770571101
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- October 10, 2005
- Last Updated
- January 15, 2025
Practice Location
- 172 King RD E
- Ithaca, NY 14850-9403
Phone: (607) 272-0212
Mailing Address
- 4435 Seneca RD
- Trumansburg, NY 14886-9201
Specialties
- Family Medicine Physician (207Q00000X)
- Hospice and Palliative Medicine (Family Medicine) Physician (207QH0002X)
Full Record
- NPI
- 1770571101
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Suzanne
- Middle Name
- Kochweser
- Credential
- MD
- Mailing Street Address
- 4435 Seneca RD
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-9201
- Mailing Country
- US
- Mailing Phone
- (607) 387-5707
- Mailing Fax
- (607) 387-4354
- Practice Street Address
- 172 King RD E
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9403
- Practice Country
- US
- Practice Phone
- (607) 272-0212
- Practice Fax
- (607) 277-3785
- Enumeration Date
- October 10, 2005
- Last Updated
- January 15, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 15, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Hospice and Palliative Medicine (Family Medicine) Physician (207QH0002X)
- Other Identifiers
- 00917208 (NY)