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Individual

FEIYAN SU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
568 BROADWAY, SUITE 304, NEW YORK, NY 10012-3225
(212) 966-7600
Mailing address
1070 KENNEDY BLVD APT 5D, BAYONNE, NJ 07002-2040
(551) 208-6967

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421262
NY

Other

Enumeration date
09/07/2016
Last updated
09/07/2016
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