Individual
MS. SUZANNE MARIE GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2811 QUEENS PLZ N # NA, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
(111) 111-1111
Mailing address
770 SAINT MARKS AVE APT 1F, BROOKLYN, NY 11216-3733
(617) 417-3800
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
856094
NY
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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