Individual
CHARLES SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(818) 632-9010
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030687
NY
Other
Enumeration date
04/18/2023
Last updated
03/07/2025
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