Suzannah Li Cannici

Primary specialty

SpecialistTaxonomy code 174400000X

License

1724562 Issued in NY

Practice address

195 Quaspeck Blvd
Valley Cottage, NY 10989-2431

Phone

(845) 721-7208

NPI assigned

Jun 15, 2012

Last updated

Jun 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1902169865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 QUASPECK BLVD",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 QUASPECK BLVD",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892431",
            "telephone_number": "845-721-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNICI",
        "first_name": "SUZANNAH",
        "middle_name": "LI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1724562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane B. Bryan, M.D.
• Kimberly Janet Byrne, M.A.,BCBA
• Arleney Caban, FPA
• Laverne Erica Campbell-Lodge
• Karen Lisa Candanedo-Torres, RN
• Natalie R Carbone
• Vincent J Carbone, ED.D, BCBA-D
• Crystal Cepeda
• Susan Chacko, PT
• Sherly Chalmers, RN

• Specialist in Valley Cottage, NY
• Providers in Valley Cottage, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.