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Individual

SUSAN ANABELLE D GADOR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10 UNION SQ E, BIMC DEPT OF PAIN MEDICINE, NEW YORK, NY 10003-3314
(212) 844-8960
Mailing address
PO BOX 32888, HARTFORD, CT 06150-2888
(212) 256-3539

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
F3015661
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02529615
NY
Enumeration date
12/20/2005
Last updated
07/08/2007
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