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General NPI Number Information
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NPI Number | 1932855020
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Entity Type | Organization
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Legal Business Name | SUSAN ZONA-O'BYRNE PEDIATRICS PLLC
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Dates
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Enumeration Date | 02/27/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 98 ROSE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-2242
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Country | US
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Telephone | 718-351-9800
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Fax | 646-867-2121
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Provider Business Mailing Address
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Address Line | 211 MEISNER AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-1245
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Country | US
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Telephone | 718-351-9745
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. SUSAN ZONA-O'BYRNE
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Credential | MD
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Telephone | 718-351-9745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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