Individual
AMY SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
3916 PRINCE ST STE 155, FLUSHING, NY 11354-5367
(917) 563-5789
(917) 563-5737
Mailing address
3916 PRINCE ST STE 155, FLUSHING, NY 11354-5367
(917) 563-5789
(917) 563-5737
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
234906
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02681267
—
NY
Enumeration date
11/30/2005
Last updated
07/02/2019
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