Individual
SUZAN MICHELLE WOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
525 E 68TH ST # 651, NEW YORK, NY 10065-4870
(212) 746-2374
Mailing address
525 E 68TH ST # 651, NEW YORK, NY 10065-4870
(212) 746-2374
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008602
NY
Other
Enumeration date
02/05/2007
Last updated
09/12/2007
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