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Individual

SUSAN Y CHAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
467 MERRICK AVENUE, EAST MEADOW, NY 11554
(516) 489-1950
(516) 489-6861
Mailing address
220-36 HARTLAND AVENUE, QUEENS VILLAGE, NY 11427
(718) 344-6039
(516) 489-6861

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00286700
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005734
NY

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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