Individual
SUSAN HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4864
Mailing address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4864
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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