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General NPI Number Information
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NPI Number | 1265475941
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Entity Type | Individual
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Provider Name | SUSANA H FUCHS MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 120 MINEOLA BLVD SUITE 10 LOWER LEVEL
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City | MINEOLA
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State | NY
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Zip | 11501-4064
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Country | US
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Telephone | 516-663-4510
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Fax | 516-663-3698
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Provider Business Mailing Address
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Address Line | GPO BOX 27686
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City | NEW YORK
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State | NY
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Zip | 10087-7686
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Country | US
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Telephone | 888-220-1235
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Fax | 865-450-9374
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 171386
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License Number State | NY
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