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DR. BOZE SUSAC MBCHB
NPI 1710627229
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 31, 2022
130 E 77TH ST FL 6, NEW YORK, NY 10075(212) 434-4763(212) 434-2246 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Boze Susac Mbchb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BOZE SUSAC MBCHB (NPI 1710627229) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1710627229
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BOZE SUSACCredential: MBCHB
Location Address130 E 77TH ST FL 6New York, NY 10075-1851
Mailing Address130 E 77th St Fl 6New York, NY 10075-1851 · (212) 434-4763 · Fax (212) 434-2246
Phone(212) 434-4763
Fax(212) 434-2246
Sole ProprietorNo
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1710627229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
130 E 77TH ST FL 6, New York, NY 10075
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON KATHRYN MORAN MD
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
New York County (212) 434-4763
DR. SHAYA MANOUCHEHRI MD
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
New York County (212) 434-4763
SARAH BYUN MD
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
New York County (212) 434-4763
CRYSTAL LEE DO
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
New York County (212) 434-4763
AIDAN PIERCE
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
New York County (212) 434-4763
SOPHIE H GUENIN MD
Student in an Organized Health Care Education/Training Program
130 E 77TH ST FL 6
NEW YORK, NY 10075
New York County (212) 434-4763
MARC COHEN
Dermatology
130 E 77TH ST FL 6
NEW YORK, NY 10075
New York County (212) 434-4763
DR. NICHOLAS JAY BILLS DO
Internal Medicine
130 E 77TH ST FL 6
NEW YORK, NY 10075
New York County (212) 434-4763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boze Susac's NPI number?

The NPI number for Boze Susac is 1710627229. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Boze Susac located?

Boze Susac practices at 130 E 77th St Fl 6, New York, NY 10075. The listed phone number is (212) 434-4763.

What is Boze Susac's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Boze Susac was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.