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Individual

AMY MACK SUKATI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6254
(516) 572-3124
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6254
(516) 572-3124

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
138105-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01203263
NY
Enumeration date
03/07/2006
Last updated
07/08/2007
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