Individual provider · Type 1 NPI

Susanna Primakoff, RPA-C

Surgical Physician Assistant · Middletown, NY

NPI number 1336338045 Active

Practice location

95 Crystal Run Rd
Middletown, NY 10941-7001

Fax (845) 703-6297

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X005715 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1336338045

Susanna Primakoff, RPA-C's National Provider Identifier is 1336338045, issued on Oct 18, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Middletown, NY. The record was last updated on May 4, 2011.