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Individual

LAUREN SUTERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13824 HOOVER AVE, BRIARWOOD, NY 11435-1132
(917) 912-0909
Mailing address
13824 HOOVER AVE, BRIARWOOD, NY 11435-1132
(917) 912-0909

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
801967981
NY

Other

Enumeration date
10/26/2010
Last updated
10/26/2010
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