Individual
KAI SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 HAVEN AVE APT4B, NEW YORK, NY 10032-1003
(212) 740-5209
Mailing address
70 HAVEN AVE APT4B, NEW YORK, NY 10032
(212) 740-5209
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
622089
NY
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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