Individual
AMANDA I SUKHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
905 E MAIN ST, RIVERHEAD, NY 11901-2613
(631) 632-2428
Mailing address
169 PUTNAM HALL BUILDING C, STONY BROOK, NY 11794-8515
(631) 632-2428
(814) 226-3478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OT017943
PA
2084P0800X
Psychiatry Physician
Primary
324130
NY
Other
Enumeration date
06/22/2017
Last updated
07/31/2023
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