MR. Micah Suckow I

NPI #1003562992 in Akron, New York

Provider Information

NPI Number: 1003562992
Entity Type: Individual
Name: MR. Micah Suckow I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 1, 2022
Last Updated: Mar 1, 2022

Practice Location

Address: 7081 MAPLE RD
City: Akron
State: New York
ZIP Code: 14001-9624
Phone: (716) 572-6448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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