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Dr. Jonathan Susman, MD
Vascular & Interventional Radiology Physician in New York, New York
NPI 1467484394

Jonathan Susman is a Vascular & Interventional Radiology Physician based in New York, NY and is specialized in Vascular & Interventional Radiology. Jonathan Susman practices in New York, NY and has the professional credentials of MD. The NPI Number for Jonathan Susman is 1467484394 and holds a License No. 203180-1 (New York).

The current practice location address for Jonathan Susman is 622 W 168Th St, New York, NY and can be reached out via phone at 212-305-9335 and via fax at 212-305-8636.

Location: 622 W 168Th St, New York, NY, 10032-3720
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Provider Profile Details
NPI Number
1467484394
Provider Name
Jonathan Susman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
622 W 168Th St, New York, NY, 10032-3720
Phone Number
212-305-9335
Fax Number
212-305-8636
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W35021 01 NY MEDICARE GROUP#
1467560854 01 NY GROUP NPI #
W34991 01 NY MEDICARE GROUP#
02186161 01 NY MEDICAID GROUP#
02186203 01 NY MEDICAID GROUP#
1992816011 01 NY GROUP NPI#
02007454 05 NY
institution
Provider Business Practice Location Address Details
Address
622 W 168Th St
City
State
Zip
10032-3720
Phone Number
212-305-9335
Fax Number
212-305-8636
person
Provider Business Mailing Address Details
Address
622 W 168Th St
City
State
Zip
10032-3720
Phone Number
212-305-9335
Fax Number
212-305-8636
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
203180-1 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
203180-1 (New York)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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