Individual
MR. EDDIE SUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9002 QUEENS BLVD, ELMHURST, NY 11373-4941
(718) 279-9461
Mailing address
9002 QUEENS BLVD, ELMHURST, NY 11373-4941
(718) 279-9461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011445
NY
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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