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Kinneret Sussman

Physician Assistant in Lake Katrine, NY. Individual provider (NPI-1).

NPI number1689239337
StatusActive
Last updated in NPPESMar 31, 2022

Details

NPI
1689239337
Entity type
Individual (NPI-1)
Name
Kinneret Sussman
Sex
Female
Sole proprietor
No
Enumeration date
May 8, 2019
Certification date
Mar 31, 2022
Last updated
Mar 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant–NYYes

Practice location

1561 Route 9w
Lake Katrine, NY 12449

Phone 845-231-5600

Mailing address

30 Columbia St
Poughkeepsie, NY 12601-3906

Phone 845-231-5600

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Other Physician Assistant providers in Lake Katrine, NY

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