| Doctor Name: | DR. AMY E SUESSLE |
| NPI Number: | 1033414255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 259627-1 |
| Business Practice Address: | 349 Meeting House Ln Old Town Medical Village Southampton, NY - 119685051 |
| Business Phone Number: | 6313773630 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1560, 123 North Sea Road -1560 SOUTHAMPTON |
| State: | NY |
| Postal Code: | 119691560 |
| Phone Number: | 6312762659 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2011 |
| NPI Last Update Date: | 12/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 259627-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |