Individual
DR. XIWU JOHN SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7250 JANUS PARK DR, LIVERPOOL, NY 13088-3847
(315) 475-8402
(315) 475-0824
Mailing address
7250 JANUS PARK DR, LIVERPOOL, NY 13088-3847
(315) 475-8402
(315) 475-0824
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
228896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02660382
—
NY
Enumeration date
06/12/2006
Last updated
12/04/2020
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