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1528313533
BIBIANA MARY SUSAIMANICKAM
BRONX, NY
NPI
1528313533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 293022)
Enumeration Date
2012-07-16
Last Update Date
2019-08-16
Business Address
Dr. BIBIANA MARY SUSAIMANICKAM MD
1276 FULTON AVE
BRONX, NY 10456-3402
Phone number: 718-992-7669
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Mailing Address
Dr. BIBIANA MARY SUSAIMANICKAM MD
1276 FULTON AVE
BRONX, NY 10456-3402
Phone number: 718-992-7669
Copy
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