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1477761153
SUSAN PAMELA HERDER
NEW YORK, NY
NPI
1477761153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 006741-01)
Enumeration Date
2007-05-18
Last Update Date
2023-10-13
Business Address
Ms. SUSAN PAMELA HERDER PA-C
1305 YORK AVE # Y12.74
NEW YORK, NY 10021-5663
Phone number: 646-962-4118
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Mailing Address
Ms. SUSAN PAMELA HERDER PA-C
1305 YORK AVE # Y12.74
NEW YORK, NY 10021-5663
Phone number: 646-962-4118
Copy
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