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Individual

MS. SUZANNE T ALLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8602 208TH ST, APT 3A, QUEENS VILLAGE, NY 11427-1677
(718) 464-0621
Mailing address
8602 208TH ST, APT 3A, QUEENS VILLAGE, NY 11427-1677
(718) 464-0621

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
377174
NY

Other

Enumeration date
09/26/2010
Last updated
09/26/2010
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