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Individual
DR. SUSAN DEBEVOISE
Active
Individual
DR. SUSAN DEBEVOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
188694
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01397066
—
NY
01
—
13L20
EMPIRE BC.BS
NY
01
—
5359169
AETNA
NY
Enumeration date
06/28/2006
Last updated
07/08/2007
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