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Individual

SUSANNA DELEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
599332
NY
367A00000X
Advanced Practice Midwife
Primary
F002000
NY

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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