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1578097556
SUSANNA DOROTHY MOORE
BRONX, NY
NPI
1578097556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 303653-01)
Enumeration Date
2017-04-17
Last Update Date
2020-04-22
Business Address
SUSANNA DOROTHY MOORE
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4678
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Mailing Address
SUSANNA DOROTHY MOORE
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4678
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