DR. SUSAN MARGARET LANDGRAF

Address: 15 Canandaigua St, Shortsville, NY 14548-9763
Phone: 5853966990

DR. SUSAN MARGARET LANDGRAF (NPI# 1205944006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205944006
Entity Type 1 - Individual
Full Name DR. SUSAN MARGARET LANDGRAF
Credential MD
Practice Address 15 Canandaigua St
Shortsville
NY 14548-9763
Mailing Address 3170 West St
Canandaigua
NY 14424-1712
Practice Telephone 5853966990
Practice Fax Number 5853966995
Enumeration Date 08/29/2006
Last Update Date 09/20/2012
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 179278 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01388274 05
NY PREFERRED CARE 110346BF 01
NY EXCELLUS P010179278 01

Office Location

Street Address 15 CANANDAIGUA ST
City SHORTSVILLE
State NY
Zip Code 14548-9763

Providers with the same location

NPI Name Address
1710931506 SUSAN VIRGINIA ROCKWELL 15 Canandaigua St, Shortsville, NY 14548-9763
1730195314 ALICE DEMALLIE 15 Canandaigua St, Shortsville, NY 14548-9763
1225147366 LESLEY ANN JAMES 15 Canandaigua St, Shortsville, NY 14548-9763

Competitor

Search similar physicians

City SHORTSVILLE
Zip Code 14548

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.