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Individual
SUSAN ELLEN PANES
Active
Individual
SUSAN ELLEN PANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
183672
NY
207KA0200X
Allergy Physician
183672
NY
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
183672
NY
Other
Enumeration date
09/13/2005
Last updated
07/12/2011
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