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Individual
DR. SUSAN SOEIRO
Active
Individual
DR. SUSAN SOEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160373
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110227797
RAIL ROAD MEDICARE
NY
01
—
71D053K223
PTAN
NY
Enumeration date
05/24/2005
Last updated
10/08/2008
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