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1831239714
SUSAN T WESOLY
BRONX, NY
NPI
1831239714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 002703)
Enumeration Date
2007-02-08
Last Update Date
2012-01-05
Business Address
SUSAN T WESOLY PA
CHAM 3415 BAINBRIDGE AVENUE
BRONX, NY 10467
Phone number: 718-920-4664
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Mailing Address
SUSAN T WESOLY PA
646 S 11TH ST
NEW HYDE PARK, NY 11040-5563
Phone number: 718-920-4664
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