Individual
STACY SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 LATTIMORE RD STE 200, ROCHESTER, NY 14620-4155
(585) 273-3608
Mailing address
601 ELMWOOD AVE BOX 668, ROCHESTER, NY 14642-0001
(585) 273-3608
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3042942
NY
207V00000X
Obstetrics & Gynecology Physician
304942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D85849
LICENSE
MD
Enumeration date
05/22/2014
Last updated
07/03/2023
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