Mona L Sussman PA

NPI 1639321219 - Physician Assistant - 363AM0700X

NPI Details
NPI 1639321219
Gender Female
Enumeration Date 10/15/2008
Last Updated 10/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
259 1ST ST
MINEOLA NY, 11501-3957, US
Phone (516) 663-8940
Business Location
MERRICK NY, 11566-4940, US
Phone (516) 379-0114
Taxonomy Code 363AM0700X
License State New York
License Number 006070
Remove 1639321219 NPI Number

According to our database, Mrs. Mona L Sussman PA NPI is 1639321219, taxonomy code is 363AM0700X and license number is 006070, license state is located at New York. Mona L Sussman PA physically located at 259 1st St, Mineola NY, 11501-3957. NPI Number Mona L Sussman PA has the Individual type.

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1639321219 NPI number is provided on an as is basis without warranty of any kind. 1639321219 is maintained by the National Plan & Provider Enumeration System. The contents of Mona L Sussman PA are for informational purposes only.