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Individual

SUSY ANNE KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
15 SUFFERN PL STE A, SUFFERN, NY 10901-5566
(845) 357-4500
Mailing address
800 RED MILLS RD # K-201, WALLKILL, NY 12589-3220
(845) 630-9562

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
546054
NY

Other

Enumeration date
08/04/2025
Last updated
08/04/2025
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