National Provider Identifier

Suzanne Carlsson

Suzanne Carlsson is listed in the NPPES registry with a primary specialty of Specialist in Ithaca, NY and a listed phone number of (315) 657-8987.

NPI 1770941262Ithaca, NYSpecialist

Profile Overview

NPI
1770941262
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
January 29, 2016
Last Updated
January 29, 2016

Practice Location

  • 152 Ridgecrest RD
  • Ithaca, NY 14850-9449

Phone: (315) 657-8987

Specialties

  • Specialist (174400000X)
Full Record
NPI
1770941262
Entity Type
Individual
Last Name
Carlsson
First Name
Suzanne
Mailing Street Address
152 Ridgecrest RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9449
Mailing Country
US
Mailing Phone
(315) 657-8987
Practice Street Address
152 Ridgecrest RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9449
Practice Country
US
Practice Phone
(315) 657-8987
Enumeration Date
January 29, 2016
Last Updated
January 29, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)