DR. SUSAN H LEESON M.D. NPI 1730171737

NPI Information

  • NPI: 1730171737
  • Provider Name: DR. SUSAN H LEESON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 301 PROSPECT AVE
    SYRACUSE, NY
    ZIP 13203
  • Phone: (315) 448-5274

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NPI Details

DR. Susan H Leeson, M.D. is a diagnostic radiology radiology in Syracuse, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Susan H Leeson, M.D. NPI is 1730171737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 PROSPECT AVE
SYRACUSE, NY
ZIP 13203-807
Phone: (315) 448-5274
Fax: (315) 448-5263

The enumeration date for this NPI number is 8/17/2005 and was last updated on 9/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology159863NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100555440MEDICAIDNEW YORK
202224500MEDICAIDNEW YORK
301360609MEDICAIDNEW YORK
400555500MEDICAIDNEW YORK
5B74943MEDICARE UPIN
650019TMEDICARE PIN
750019AMEDICARE PIN
8CC4319MEDICARE PIN
934589AMEDICARE PIN
10CC6799MEDICARE PIN
11AA0672MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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