Individual
SUSAN GERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 NORTH ST, MIDDLETOWN, NY 10940-4704
(845) 343-7675
Mailing address
305 NORTH ST, MIDDLETOWN, NY 10940-4704
(845) 343-7675
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
318077
NY
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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