Individual
CALVIN DATZE SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
226 E 75TH ST, APT. 1B, NEW YORK, NY 10021
(203) 675-6157
(212) 517-7018
Mailing address
226 E 75TH ST, APT. 1B, NEW YORK, NY 10021-2916
(203) 675-6157
(212) 517-7018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
292622
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/04/2014
Last updated
06/11/2018
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