Individual
MRS. SUSAN ELTZ-FURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDH
Contact information
Practice address
162 E BROADWAY, MONTICELLO, NY 12701-8815
(845) 796-1350
Mailing address
162 E BROADWAY, MONTICELLO, NY 12701-8815
(845) 796-1350
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
017346-1
NY
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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