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Individual

MS. SUSAN M MEDOFF

Active
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Individual

MS. SUSAN M MEDOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104032
MA
1041C0700X
Clinical Social Worker
RO28639
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100382FK
PREFERRED CARE
NY
01
7692315
AETNA
NY
01
PO10028639
BCBS
NY
Enumeration date
08/07/2006
Last updated
09/11/2025
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