Individual
MASUMA SULTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
1507 ZEREGA AVE APT 1, BRONX, NY 10462-5558
(347) 756-8872
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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