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Individual

SUDA JIRASAKULDEJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
710 W 168TH ST, 7TH FLOOR, NEW YORK, NY 10032-3726
(212) 305-1742
Mailing address
710 W 168TH ST, 7TH FLOOR, NEW YORK, NY 10032-3726
(212) 305-1742

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
271391-1
NY

Other

Enumeration date
07/09/2008
Last updated
07/16/2014
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