Diana Marie Sustar M.D.

NPI 1659500825 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1659500825
Gender Female
Enumeration Date 07/09/2009
Last Updated 09/24/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
45 HUDSON AVE
GLENS FALLS NY, 12801-4313, US
Phone (518) 793-4477
Fax (518) 798-7541
Business Location
45 HUDSON AVE
PO BOX 144
GLENS FALLS NY, 12801-4313, US
Phone (518) 793-4477
Fax (518) 798-7541
Toxanomy
Taxonomy Code 207V00000X
License State New York
License Number 268628-1
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According to our database, Diana Marie Sustar M.D. NPI is 1659500825, taxonomy code is 207V00000X and license number is 268628-1, license state is located at New York. Diana Marie Sustar M.D. physically located at 45 Hudson Ave, Glens Falls NY, 12801-4313. NPI Number Diana Marie Sustar M.D. has the Individual type.

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1659500825 NPI number is provided on an as is basis without warranty of any kind. 1659500825 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Marie Sustar M.D. are for informational purposes only.