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Individual

DR. SUNAH KIM ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000000005848
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000406323002
BLUE SHIELD NENY
NY
01
10029632
CDPHP
NY
01
371959
MVP
NY
01
C395E
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
05/04/2006
Last updated
08/28/2023
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