Individual
HALEY SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Mailing address
2260 BALLARD WAY, ELLICOTT CITY, MD 21042-1719
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023743
NY
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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