Sucheski-Drake, Amy E

Sucheski-Drake, Amy E is an individual health care provider with primary practice located at 110 Ho Plz , Ithaca NY 14853-3102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Sucheski-Drake, Amy E can be contacted via phone (607) 255-5155.

Contact Information

Primary practice address
110 Ho Plz Ithaca NY 14853-3102
Phone: (607) 255-5155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 267020-1 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD18314 Maine

Profile Details

NPI number 1780752634
LBN Legal business name Sucheski-Drake, Amy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jun 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780752634 NPPES
New Hampshire MEDICAID 30209644

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