Provider Demographics
NPI:1871857508
Name:ESCHLER, SUSANNE
Entity Type:Individual
Prefix:MRS
First Name:SUSANNE
Middle Name:
Last Name:ESCHLER
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 1:384 SANTORO RD
Mailing Address - Street 2:
Mailing Address - City:GARRATTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13342-1915
Mailing Address - Country:US
Mailing Address - Phone:607-376-2600
Mailing Address - Fax:
Practice Address - Street 1:384 SANTORO RD
Practice Address - Street 2:
Practice Address - City:GARRATTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13342-1915
Practice Address - Country:US
Practice Address - Phone:607-376-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist