Individual
LIN SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-2260
Mailing address
3801 27TH ST, LONG ISLAND CITY, NY 11101-2701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
718042
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F308572
NY
Other
Enumeration date
02/20/2017
Last updated
05/10/2022
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