1699973693

Everything you always wanted to know about MRS. FISHMAN TUDOR ELLEN SUSAN DC but were afraid to ask.

MRS. FISHMAN TUDOR ELLEN SUSAN DC

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MRS. FISHMAN TUDOR ELLEN SUSAN DC
Gender:
Female
Enumeration date:
2007-07-11
Last update date:
2007-07-11
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
111N00000X Chiropractor NY Y005601 N

Phone Numbers

Type Number
Mailing Address Telephone Number 6702332225
Practice Location Address Telephone Number 6702332225
Mailing Address Fax Number 6702349668
Practice Location Address Fax Number 6702349668

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 505090 CHAMORRA HOUSE SAIPAN MP 96950 MP
Practice Location Address 102 ALAHAI AVE PARADISE ISLAND CHIROPRACTIC INC GARAPAN SAIPAN MP 96950 MP