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1154305720
SUSAN K BOOLBOL
POUGHKEEPSIE, NY
NPI
1154305720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NY 2101701)
Additional Taxonomies
208600000X Surgery
(Licence: CT 67054)
Enumeration Date
2005-12-06
Last Update Date
2021-12-06
Business Address
SUSAN K BOOLBOL MD
45 READE PL
POUGHKEEPSIE, NY 12601-3947
Phone number: 845-214-1837
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Mailing Address
SUSAN K BOOLBOL MD
21 READE PL STE 2100
POUGHKEEPSIE, NY 12601-3968
Phone number: 845-214-1837
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