Individual provider · Type 1 NPI

Stephen Susa

Student in an Organized Health Care Education/Training Program · Rochester, NY

NPI number 1780327262 Active

Practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Mailing address

727 University Park
Rochester, NY 14620-4436

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780327262

Stephen Susa's National Provider Identifier is 1780327262, issued on Apr 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, NY. The record was last updated on Apr 14, 2022.