Individual
CHANGXUETONG SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 CROTONA AVE, BRONX, NY 10457-6621
(000) 000-0000
Mailing address
54 W 84TH ST APT 1R, NEW YORK, NY 10024-4783
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091347
NY
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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