IndividualActive
Susie Park, M.D.
NPI 1114177300 · Pediatric Radiology Physician · Albany, NY
Provider details
- NPI number
- 1114177300
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 267437 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
43 New Scotland Ave
Dept of Radiology Mc 113
Albany, NY 12208-3412
Phone: (518) 262-3722
Approximate (ZIP-level) locationGet directions
Mailing address
711 Troy Schenectady Rd
Latham, NY 12110-2442
Registry dates
- Enumerated
- 2008-09-24
- Last updated
- 2023-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.