Individual
SUSAN PHILIPOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7501
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
279404
NY
207P00000X
Emergency Medicine Physician
56004
CT
Other
Enumeration date
04/27/2012
Last updated
04/20/2018
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