Individual
ADINA SUKALIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A. -C
Contact information
Practice address
34 W 22ND ST FL 2, NEW YORK, NY 10010-7085
(646) 906-8003
Mailing address
34 W 22ND ST FL 2, NEW YORK, NY 10010-7085
(646) 906-8003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013409
NY
363A00000X
Physician Assistant
25MP00254200
NJ
363AS0400X
Surgical Physician Assistant
013409
NY
Other
Enumeration date
08/11/2009
Last updated
11/21/2024
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