Individual
MS. SUZANNE CASSANDRA FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1850 BROOKLYN AVENUE, APT. 4H, BROOKLYN, NY 11210-4248
(646) 483-0851
Mailing address
1830 BROOKLYN AVE, APT. 4H, BROOKLYN, NY 11210-4250
(646) 483-0851
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013541
NY
Other
Enumeration date
05/03/2011
Last updated
10/23/2013
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