Amico, Susan

Amico, Susan is an sole proprietor health care provider with primary practice located at 62 Seguine Ave Ste 2 , Staten Island NY 10309-3723. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Amico, Susan can be contacted via phone (718) 317-7740.

Contact Information

Primary practice address
62 Seguine Ave Ste 2 Staten Island NY 10309-3723
Phone: (718) 317-7740
Fax: (718) 948-1090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N003694 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003694 New York

Profile Details

NPI number 1457367724
LBN Legal business name Amico, Susan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Feb 13th, 2022 - about 4 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 1457367724 NPPES
New York MEDICAID 00903599

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