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1639321219
MONA L SUSSMAN
MINEOLA, NY
NPI
1639321219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 006070)
Enumeration Date
2008-10-15
Last Update Date
2008-10-15
Business Address
Mrs. MONA L SUSSMAN PA
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8940
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Mailing Address
Mrs. MONA L SUSSMAN PA
2821 RIVERSIDE AVE
MERRICK, NY 11566-4940
Phone number: 516-379-0114
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