Susan Duddy Martin
Pediatrician Pediatric Critical Care Doctor
601 Elmwood Ave
Rochester
, New York 14642-0001
Susan Duddy Martin
Pediatrician Pediatric Critical Care Doctor
601 Elmwood Ave
Rochester
, New York 14642-0001
(585) 276-1128
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About
Features
Specialties
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Susan Duddy Martin
- 601 Elmwood Ave Box 635
- Rochester, NY
- Zip : 14642-0001
- Fax : (585) 276-1128
- Phone : (585) 275-8138
Second Address
- Susan Duddy Martin
- 601 Elmwood Ave
- Rochester, NY
- Zip : 14642-0001
- Fax : (585) 276-1128
- Phone : (585) 275-8138
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 46871 | KY |
| Y | 2080P0203X | Pediatric Critical Care Doctor | 289015 | NY |
National Provider Identifier
| NPI | 1184923351 |
|---|---|
| Provider Name | Susan Duddy Martin |
| First Address | Rochester, NY 14642-0001 |
| Second Address | Rochester, NY 14642-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2011 |
| Last Update Date | 15/08/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.