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Individual

MS. HONORE SUSAN SIMMONS PETRASEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
27 CATHERINE ST, EAST NORTHPORT, NY 11731-1318
(631) 261-9145
(631) 261-9145
Mailing address
27 CATHERINE ST, EAST NORTHPORT, NY 11731-1318
(631) 261-9145
(631) 261-9145

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
011621
NY

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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