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General NPI Number Information
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NPI Number | 1093834913
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Entity Type | Individual
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Provider Name | RYANG J. SUH M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 750 WASHINGTON ST PEEKSKILL CSC
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City | PEEKSKILL
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State | NY
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Zip | 10566-5426
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Country | US
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Telephone | 914-995-5233
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Fax |
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Provider Business Mailing Address
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Address Line | 15 TRAILSIDE PL
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City | NEW CITY
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State | NY
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Zip | 10956-1312
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Country | US
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Telephone | 914-995-5233
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 127084-1
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License Number State | NY
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