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1205142197
SUSAN KELLY
NEW YORK, NY
NPI
1205142197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009732)
Enumeration Date
2010-08-30
Last Update Date
2010-08-30
Business Address
Mrs. SUSAN KELLY PA-C
1190 5TH AVE BOX 1028
NEW YORK, NY 10029-6503
Phone number: 212-659-9521
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Mailing Address
Mrs. SUSAN KELLY PA-C
1190 5TH AVE BOX 1028
NEW YORK, NY 10029-6503
Phone number: 212-659-9521
Copy
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