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General NPI Number Information
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NPI Number | 1346935822
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Entity Type | Individual
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Provider Name | ERIC SUSS
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Gender | Male
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 1650 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10457-7679
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Country | US
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Telephone | 973-733-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 3777 INDEPENDENCE AVE APT 3L
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City | BRONX
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State | NY
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Zip | 10463-1412
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Country | US
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Telephone | 917-848-9142
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F312288
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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