Individual
SUSAN ZENG YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7942
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7942
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
028294
NY
Other
Enumeration date
08/07/2022
Last updated
12/18/2022
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