Provider Demographics
NPI:1801867791
Name:KATKO, SUZANNE (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:
Last Name:KATKO
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 W GENESEE ST
Mailing Address - Street 2:SUITE 229
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-3200
Mailing Address - Country:US
Mailing Address - Phone:315-234-3842
Mailing Address - Fax:315-234-9864
Practice Address - Street 1:5700 W GENESEE ST
Practice Address - Street 2:SUITE 229
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-3200
Practice Address - Country:US
Practice Address - Phone:315-234-3842
Practice Address - Fax:315-234-9864
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter