| Michael C Susco, Md | |
|
42 N Main St Canandaigua NY 14424-1446 | |
| (585) 919-0014 | |
| (585) 393-0014 |
| Full Name | Michael C Susco, Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 42 N Main St, Canandaigua, New York |
| Authorized Official Name and Position | Michael Susco (PSYCHIATRIST) |
| Authorized Official Contact | 5859190014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C Susco, Md 42 N Main St Canandaigua NY 14424-1446 Ph: (585) 919-0014 | Michael C Susco, Md 42 N Main St Canandaigua NY 14424-1446 Ph: (585) 919-0014 |
| NPI Number | 1518311497 |
|---|---|
| Provider Enumeration Date | 04/18/2016 |
| Last Update Date | 04/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518311497 | NPI | - | NPPES |
| 01361962 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 168413 (New York) | Primary |
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