Individual provider · Type 1 NPI
Susan Clymo
Specialist · Fairport, NY
NPI number
1407123524
Active
Practice location
55 Ayrault Rd
Fairport, NY 14450-2865
Fax (585) 924-7049
Mailing address
20 Peachtree Ct, Suite 105
Holbrook, NY 11741-4616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 016910-1 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1407123524
Susan Clymo's National Provider Identifier is 1407123524, issued on Nov 17, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairport, NY. The record was last updated on Dec 18, 2013.