Individual
MRS. JILL S. SUTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
235 UPPER RD, MIDDLETOWN, NY 10940-7000
(845) 386-5685
Mailing address
235 UPPER RD, MIDDLETOWN, NY 10940-7000
(845) 386-5685
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
005184-1
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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