Organization
SUSAN G. LOVE DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN G LOVE DPM (DPM)
(718) 835-1453
Entity
Organization
Contact information
Practice address
159-05 92ND STREET, HOWARD BEACH, NY 11414
(718) 835-1453
Mailing address
15905 92ND ST, HOWARD BEACH, NY 11414-3123
(718) 835-1453
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003949-1
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00966385
—
NY
01
—
480005518
MEDICARE RAILROAD
NY
Enumeration date
03/22/2007
Last updated
05/07/2008
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