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Individual

IN SUK SEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8894
(718) 250-6760
Mailing address
22 MAPLE ST, ENGLEWOOD CLIFFS, NJ 07632-1912
(201) 871-9191
(718) 250-6760

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
145037
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01007698
NY
Enumeration date
06/18/2006
Last updated
08/19/2013
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