Organization
EDWIN P SU MD PC
Active
Organization
EDWIN P SU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J MCKINNON (BILLING MANAGER)
(914) 244-9530
Entity
Organization
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1128
(914) 606-1138
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1128
(914) 606-1138
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
210947
NY
Other
Enumeration date
02/05/2008
Last updated
06/28/2012
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