Individual
EUN JUNG SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 COLLEGE ST, CLINTON, NY 13323-1634
(315) 853-5532
(315) 853-1003
Mailing address
101 COLLEGE ST, CLINTON, NY 13323-1634
(315) 853-5532
(315) 853-1003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F340213
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04393633
—
NY
Enumeration date
09/30/2014
Last updated
08/17/2016
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