Individual
DR. JON ROBERT SUNDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
52 BENTLEY LANE, STATEN ISLAND, NY 10307
(917) 207-9076
(888) 286-5814
Mailing address
52 BENTLEY LANE, STATEN ISLAND, NY 10307
(917) 207-9076
(888) 286-5814
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01948443
—
NY
05
—
02519726
—
NY
Enumeration date
07/20/2006
Last updated
10/01/2014
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