Individual
EDELMYS SUNCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1150 WEBSTER AVE, BRONX, NY 10456-5205
(718) 295-7900
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019065-1
NY
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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