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1194136275
SUSAN BANUELOS
BRONX, NY
NPI
1194136275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
Enumeration Date
2014-05-12
Last Update Date
2021-11-02
Business Address
Dr. SUSAN BANUELOS M.D.
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 562-304-0196
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Mailing Address
Dr. SUSAN BANUELOS M.D.
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 562-304-0196
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