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Individual

LAURETTE A SAUTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
560 NORTHERN BLVD, SUITE 102, GREAT NECK, NY 11021-5100
(516) 504-1600
(516) 504-6398
Mailing address
560 NORTHERN BLVD, SUITE 102, GREAT NECK, NY 11021-5100
(516) 504-1600
(516) 504-6398

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
230749
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02519602
NY
Enumeration date
05/01/2006
Last updated
03/11/2010
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