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Individual

SUSAN JORMARK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 E 77TH ST, SUITE 12, NEW YORK, NY 10021-1850
(212) 434-2361
(212) 434-4512
Mailing address
100 E 77TH ST, SUITE 12, NEW YORK, NY 10021-1850
(212) 434-2361
(212) 434-4512

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
150000
NY

Other

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