# 7 SUSAN MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Live well Medical office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932914553
- **Authorized official:** DR. SAIQA IRAM MD (PHYSICIAN)
- **Authorized official phone:** (347) 264-6436

## Contact information

- **Practice address:** 770 GRAND BLVD STE 10, DEER PARK, NY 11729-5725
- **Practice address phone:** (347) 264-6436
- **Practice address fax:** (631) 377-5727
- **Mailing address:** 770 GRAND BLVD STE 10, DEER PARK, NY 11729-5725
- **Mailing address phone:** (347) 264-6436
- **Mailing address fax:** (631) 377-5727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/11/2025
- **Last updated:** 02/11/2025