Susan Dong

NPI #1356654099 in Ridgewood, New York

Provider Information

NPI Number: 1356654099
Entity Type: Individual
Name: Susan Dong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 22, 2010
Last Updated: Jul 22, 2010

Practice Location

Address: 6036 MYRTLE AVE
City: Ridgewood
State: New York
ZIP Code: 11385-5932
Phone: (718) 497-5190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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