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Individual
DR. SUSAN P CAMPANILE
Active
Individual
DR. SUSAN P CAMPANILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
206244
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00506318
—
NY
01
—
A100000178
MEDICARE GROUP PTAN
NY
01
—
P00951939
RAILROAD MEDICARE PTAN
NY
Enumeration date
12/14/2006
Last updated
05/24/2021
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