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SUSANNA MOORE
Family Medicine Physician
NPI: 1578097556Individual
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
303653-01(NY)
CMS Specialties
PrimaryINTERNAL MEDICINE
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 111 E 210TH ST
BRONX, NY 10467 - Phone
- (718) 920-4678
Quick Facts
- NPI
- 1578097556
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 6
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