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1205911088
IRA I SUSSMAN
BRONX, NY
NPI
1205911088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0000X Internal Medicine, Hematology
(Licence: NY 107022)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
IRA I SUSSMAN MD
MMC - DEPT. OF PATHOLOGY 111 EAST 210TH STREET, CEN. 3
BRONX, NY 10467
Phone number: 718-920-4540
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Mailing Address
IRA I SUSSMAN MD
2 WOODCREST CT
WEST NYACK, NY 10994-1213
Phone number: 718-920-4540
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