Individual
MRS. SUSAN NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9119 MAIN ST, STITTVILLE, NY 13469
(315) 865-8020
Mailing address
9119 MAIN ST, STITTVILLE, NY 13469
(315) 865-8020
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
005308-1
NY
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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