Individual
NATALIA SUDAKOV
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1575 HILLSIDE AVE, STE 100, NEW HYDE PARK, NY 11040-2501
(516) 358-7210
Mailing address
PO BOX 95000-1360, PHILADELPHIA, PA 19195-0001
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
202338-1
NY
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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