Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 184331 | NY |
NPI | 1649350117 |
---|---|
Provider Name | Susan D Klugman |
First Address | Bronx, NY 10461-2374 |
Second Address | Larchmont, NY 10538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 05/11/2013 |