Individual
NIA SUZANNE PELLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4000
Mailing address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
009676
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
318793
NY
Other
Enumeration date
06/19/2018
Last updated
07/10/2024
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