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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
207R00000X
Internal Medicine Physician
Primary
234906
NY
207RN0300X
Nephrology Physician
234906
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02681267
NY
Enumeration date
11/30/2005
Last updated
06/04/2026
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