person
Stephen Susa
Student in an Organized Health Care Education/Training Program in Rochester, New York
NPI 1780327262

Stephen Susa is a Student in an Organized Health Care Education/Training Program based in Rochester, NY. Stephen Susa practices in Rochester, NY. The NPI Number for Stephen Susa is 1780327262 and holds a License No. (New York).

The current practice location address for Stephen Susa is 601 Elmwood Ave, Rochester, NY and can be reached out via phone at 614-404-9035.

Location: 601 Elmwood Ave, Rochester, NY, 14620-4436
person
Provider Profile Details
NPI Number
1780327262
Provider Name
Stephen Susa
Credential
Provider Entity Type
Individual
Gender
Male
Address
601 Elmwood Ave, Rochester, NY, 14620-4436
Phone Number
614-404-9035
Fax Number
Provider Enumeration Date
04/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 Elmwood Ave
City
State
Zip
14642-0001
Phone Number
614-404-9035
Fax Number
person
Provider Business Mailing Address Details
Address
601 Elmwood Ave
City
State
Zip
14642-0001
Phone Number
614-404-9035
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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