SUSAN MOAK

LIVERPOOL, NY
NPI1871837260
Former NameSUSAN MICHAELS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  016149)
Enumeration Date2012-11-26
Last Update Date2017-11-30
Business Address
-- SUSAN MOAK RPA
8100 OSWEGO RD SUITE 220
LIVERPOOL, NY 13090-1654
Phone number: 315-652-6551
Mailing Address
-- SUSAN MOAK RPA
8324 OSWEGO RD SUITE D
LIVERPOOL, NY 13090-1085
Phone number: 315-652-6551
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