Individual
SUZETTE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6200
Mailing address
PO BOX 2161, GARDEN CITY, NY 11531-2161
(212) 946-5793
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
195178
NY
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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