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Susan Duckham

NPI 1487915336 · on the registry since 2012

Practice

Address
1 Scouting Blvd
Medford, NY 11763
Phone
(631) 297-3200
Clinicians at this address
28

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York