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Individual

SUSAN A GAUTHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1305 YORK AVE, SUITE Y217, NEW YORK, NY 10021-5663
(646) 962-9800
Mailing address
1305 YORK AVE, SUITE Y217, NEW YORK, NY 10021-5663
(646) 962-9800

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
241847
NY

Other

Enumeration date
05/01/2006
Last updated
12/28/2012
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