Individual
SUSAN VOGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87 BAYVIEW AVE, PORT WASHINGTON, NY 11050-3531
(917) 359-3404
Mailing address
87 BAYVIEW AVE, PORT WASHINGTON, NY 11050-3531
(917) 359-3404
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0204931
NY
Other
Enumeration date
11/26/2017
Last updated
11/26/2017
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