Organization
ANNA SUPONYA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA SUPONYA MD (PRESIDENT)
(718) 238-8373
Entity
Organization
Contact information
Practice address
9920 4TH AVE, SUITE206, BROOKLYN, NY 11209-8333
(718) 238-8373
(718) 238-8375
Mailing address
9920 4TH AVE, SUITE206, BROOKLYN, NY 11209-8333
(718) 238-8373
(718) 238-8375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02575588
—
NY
Enumeration date
04/09/2009
Last updated
04/09/2009
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