Individual
SUJIN AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
716154-1
NY
225700000X
Massage Therapist
Primary
MAT-18090
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66163783
—
NY
Enumeration date
08/11/2018
Last updated
03/06/2025
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