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1487711636
SUSAN PHELAN
PORT JEFFERSON, NY
NPI
1487711636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY F4001481)
Enumeration Date
2007-01-03
Last Update Date
2010-06-23
Business Address
-- SUSAN PHELAN Ph D NP
640 BELLE TERRE RD SUITE J2-3
PORT JEFFERSON, NY 11777-1936
Phone number: 631-928-3184
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Mailing Address
-- SUSAN PHELAN Ph D NP
640 BELLE TERRE RD SUITE J2-3
PORT JEFFERSON, NY 11777-1936
Phone number: 631-928-3184
Copy
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