Individual
MICHELLE SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
610 2ND AVE, NEW YORK, NY 10016-4859
(646) 501-4848
Mailing address
610 2ND AVE, NEW YORK, NY 10016-4859
(646) 501-8484
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311546
NY
Other
Enumeration date
09/26/2024
Last updated
10/02/2024
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