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Individual

SEMA BANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
49 FOREST RD, MONROE, NY 10950-2923
(845) 782-3242
Mailing address
49 FOREST RD, MONROE, NY 10950-2923
(845) 782-3242

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
240915
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04277712
NY
Enumeration date
08/09/2006
Last updated
04/11/2016
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