Suzanne Michele Bamonto, PH.D.
Individual provider Active NPI Psychologist · Victor, NY
NPI 1003500901 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1003500901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 025192 (NY)
- Practice address
- 6539 Anthony Dr Ste a
Victor, NY 14564-1441 - Phone
- (585) 398-8835
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025192 | NY | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 025192 | NY | Yes |
Addresses
Primary practice location
6539 Anthony Dr Ste a
Victor, NY 14564-1441
Mailing address
14 Stoneleigh TRL
Victor, NY 14564-8951
Phone (585) 797-7938
Other names
- Dr. Suzanne Bamonto Graney
Other providers in Victor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.