Individual
MASAMI SUMTIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W 120TH ST, NEW YORK, NY 10027-6128
(212) 666-4134
(212) 933-4548
Mailing address
PO BOX 2128, NEW YORK, NY 10108-2128
(191) 760-7922
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
503915
NY
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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