Individual
SUSAN KAY CONNORS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 PINE GROVE AVE, KINGSTON, NY 12401-5407
(845) 943-5841
Mailing address
PO BOX 2270, KINGSTON, NY 12402-2270
(845) 943-5841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
155793
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00812804
—
NY
Enumeration date
06/16/2006
Last updated
07/09/2007
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