Myron Susin, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

105211 Issued in NY

Practice address

Nsuh-Dept of Pathology
300 Community Drive
Manhasset, NY 11030

Phone

(516) 562-4192

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023188166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NSUH-DEPT OF PATHOLOGY",
            "address_2": "300 COMMUNITY DRIVE",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-562-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NSUH-DEPT OF PATHOLOGY",
            "address_2": "300 COMMUNITY DRIVE",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "516-562-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSIN",
        "first_name": "MYRON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "105211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saritha Surendran-Mohanan, NP
• Christian Andrew Suri-Baez, MD
• Susan J. Bily-Lindner PSYD PLLC North Shore- South Shore Psyc SVCS
• Susan M.Palleschi, MD,
• Richard D Susi, MD
• SVC of Manhasset LLC
• Edita Svoren, M.D.
• Justine Sweeney, PT,DPT
• Bryan Nicholas Swenson, MD
• Robert B Swersky, MD

• Anatomic Pathology Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Anatomic Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.