Anderson, Suzanne Kochweser

Anderson, Suzanne Kochweser is an individual health care provider with primary practice located at 172 King Rd E , Ithaca NY 14850-9403. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Anderson, Suzanne Kochweser can be contacted via phone (607) 272-0212.

Contact Information

Primary practice address
172 King Rd E Ithaca NY 14850-9403
Phone: (607) 272-0212
Fax: (607) 277-3785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 155383 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 155383 New York

Profile Details

NPI number 1770571101
LBN Legal business name Anderson, Suzanne Kochweser
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jan 15th, 2025 - about last year

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 1770571101 NPPES
New York MEDICAID 00917208

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