Individual
SUSAN BUTTERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
14 S 2ND AVE, MT VERNON, NY 10550-3404
(914) 668-7927
Mailing address
191 LEE AVE, YONKERS, NY 10705-2718
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009892
NY
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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