Individual
JIN SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(646) 683-6238
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401731
NY
Other
Enumeration date
07/17/2014
Last updated
03/14/2018
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