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1013093590
SUSAN M GRODMAN
NEW YORK, NY
NPI
1013093590
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Former Name
SUSAN MIRIAM MYDLARZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 013866)
Enumeration Date
2006-10-27
Last Update Date
2012-10-03
Business Address
Dr. SUSAN M GRODMAN PhD
19 WEST 34TH STREET PH LEVEL 13TH FLOOR
NEW YORK, NY 10001-3006
Phone number: 917-747-2430
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Mailing Address
Dr. SUSAN M GRODMAN PhD
85 PENBROKE AVENUE
STATEN ISLAND, NY 10301-2062
Phone number: 718-447-7520
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