Individual
DR. LONG SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
254 CANAL ST, SUITE 4008, NEW YORK, NY 10013-3501
(212) 966-3649
Mailing address
254 CANAL STREET, ROOM 4008, NEW YORK, NY 10013-7841
(212) 489-4712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046375
NY
122300000X
Dentist
D20421
TX
Other
Enumeration date
09/02/2006
Last updated
03/15/2013
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