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Individual

CONNIE JO YERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20 CEDAR ST, NEW ROCHELLE, NY 10801-5247
(914) 576-5292
Mailing address
431 N FULTON AVE, MOUNT VERNON, NY 10552-2213
(914) 806-8700

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
406461
NY

Other

Enumeration date
06/11/2012
Last updated
06/11/2012
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