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Individual

SUSAN LAELA ALKASAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
825 NORTHERN BLVD, SUITE 301, GREAT NECK, NY 11021-5323
(516) 472-5700
Mailing address
300 COMMUNITY DR, DEPARTMENT OB/GYN 4 LEVITT, MANHASSET, NY 11030-3816
(516) 562-4435

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
249569
NY

Other

Enumeration date
07/23/2008
Last updated
07/23/2008
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