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Contact Information

MICHELE F IANNUZZI SUCICH, MD
115 SOUTH ST
MIDDLETOWN, NY10940-6404
 Phone: 845-341-4124
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHELE F IANNUZZI SUCICH · (Female)

NPI # 1114901220
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2005
Last updated 06/21/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 227034-1
  • NY Other 4142678 MVP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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