Individual
MS. SUSANRACHEL BALBER-CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM NP
Contact information
Practice address
2731 ROUTE 44 55, GARDINER, NY 12525-5123
(845) 256-5430
Mailing address
2731 ROUTE 44 55, GARDINER, NY 12525-5123
(845) 256-5430
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000822
NY
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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