Healthcare Provider Details

I. General information

NPI: 1780695320
Provider Name (Legal Business Name): SUSAN CASH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 SOUTH AVE STE 302
STATEN ISLAND NY
10314-3420
US

IV. Provider business mailing address

7125 ORCHARD LAKE RD STE 100
WEST BLOOMFIELD MI
48322-3616
US

V. Phone/Fax

Practice location:
  • Phone: 866-607-2308
  • Fax:
Mailing address:
  • Phone: 866-607-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101269628
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number211407
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: