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Individual

DR. SUMAN BEHERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
555 FRENCH RD STE 103, NEW HARTFORD, NY 13413-1070
(315) 735-3541
(315) 724-3255
Mailing address
555 FRENCH RD STE 103, NEW HARTFORD, NY 13413-1070
(315) 735-3541
(315) 724-3255

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
311558
NY
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
07/13/2016
Last updated
10/20/2021
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