Provider Demographics
NPI:1598327090
Name:SUCHOCKI, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SUCHOCKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST WYOMING
Mailing Address - State:PA
Mailing Address - Zip Code:18644-1614
Mailing Address - Country:US
Mailing Address - Phone:570-606-1592
Mailing Address - Fax:
Practice Address - Street 1:209 ROBERTS RD
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-3111
Practice Address - Country:US
Practice Address - Phone:570-655-2891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics