Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 60202 | CT |
N | 207VX0000X | Obstetrician | 264728 | NY |
Y | 207VX0000X | Obstetrician | 60202 | CT |
NPI | 1720376494 |
---|---|
Provider Name | Barrie Suskin |
First Address | Stamford, CT 06904-9317 |
Second Address | Stamford, CT 06904-9317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2011 |
Last Update Date | 26/05/2020 |