Individual
MRS. CICILY SUNNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
289 BIDWELL AVE, STATEN ISLAND, NY 10314-3150
(718) 619-5013
Mailing address
289 BIDWELL AVE, STATEN ISLAND, NY 10314-3150
(718) 619-5013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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