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1427083161
SUSAN LANE
EAST SETAUKET, NY
NPI
1427083161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 198710)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
Dr. SUSAN LANE
205 N BELLE MEAD AVE
EAST SETAUKET, NY 11733
Phone number: 631-444-4630
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Mailing Address
Dr. SUSAN LANE
P.O. BOX 1559
STONY BROOK, NY 11790
Phone number:
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