Individual
MS. SUSAN CAROL HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
124 W 109TH ST APT 3A, NEW YORK, NY 10025-2515
(646) 267-4521
Mailing address
124 W 109TH ST APT 3A, NEW YORK, NY 10025-2515
(646) 267-4521
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F001754
NY
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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