Individual
DR. SUSAN M. DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 E 96TH ST, 5A, NEW YORK, NY 10128-0753
(212) 876-9273
Mailing address
16 E 96TH ST, 5A, NEW YORK, NY 10128-0753
(212) 876-9273
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
102844
NY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
102844
NY
Other
Enumeration date
09/17/2008
Last updated
05/20/2009
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