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1518946300

NPI Code Detail

MEDICARE: DR. HOWARD SUSSMAN MD

MEDICARE: DR. HOWARD SUSSMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	168699	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0042235	OTHER	NY	GHI
2	4102	OTHER	NY	VYTRA
3	4266129	OTHER	NY	AETNAUSHC
4	AS403	OTHER	NY	OXFORD HEALTH PLANS
5	OC3105	OTHER	NY	HEALTHNET
6	6524287-013	OTHER	NY	CIGNA
7	29221P	OTHER	NY	HIP
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	07F951	OTHER	NY	BLUE CROSS/BLUE SHEILD

General Provider Information

NPI Number	:	1518946300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD SUSSMAN MD

Provider Business Mailing Address
First Line	:	4295 HEMPSTEAD TPKE
Second Line	:
City	:	BETHPAGE
State	:	NY
Zip	:	11714-5713
Country	:	US
Telephone Number	:	516-520-2780
Fax Number	:	516-520-2778

Provider Business Practice Location Address
First Line	:	4295 HEMPSTEAD TPKE
Second Line	:
City	:	BETHPAGE
State	:	NY
Zip	:	11714-5713
Country	:	US
Telephone Number	:	516-520-2780
Fax Number	:	516-520-2778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	05/21/2012

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Directions to “ DR. HOWARD SUSSMAN MD” Practice Location

Language	Start Address	Practice Location

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