National Provider Identifier
Amy E Sucheski-Drake, MD
Amy E Sucheski-Drake, MD is listed in the NPPES registry with a primary specialty of Sports Medicine (Family Medicine) Physician in Ithaca, NY and a listed phone number of (607) 255-5155.
Profile Overview
- NPI
- 1780752634
- Provider Type
- Individual
- Primary Specialty
- Sports Medicine (Family Medicine) Physician
- Enumeration Date
- November 30, 2006
- Last Updated
- June 21, 2021
Practice Location
- 110 Ho Plz
- Ithaca, NY 14853-3102
Phone: (607) 255-5155
Specialties
- Sports Medicine (Family Medicine) Physician (207QS0010X)
- Sports Medicine (Family Medicine) Physician (207QS0010X)
Full Record
- NPI
- 1780752634
- Entity Type
- Individual
- Last Name
- Sucheski-Drake
- First Name
- Amy
- Middle Name
- E
- Credential
- MD
- Provider Other Last Name
- Sucheski
- Provider Other First Name
- Amy
- Provider Other Middle Name
- E
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 110 Ho Plz
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14853-3102
- Mailing Country
- US
- Mailing Phone
- (607) 255-5155
- Practice Street Address
- 110 Ho Plz
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853-3102
- Practice Country
- US
- Practice Phone
- (607) 255-5155
- Enumeration Date
- November 30, 2006
- Last Updated
- June 21, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 21, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Medicine (Family Medicine) Physician (207QS0010X), Sports Medicine (Family Medicine) Physician (207QS0010X)
- Other Identifiers
- 30209644 (NH)