Individual
YONGXIA SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13226 AVERY AVE, FLUSHING, NY 11355-4954
(917) 528-8908
Mailing address
14223 37TH AVE APT 2E, FLUSHING, NY 11354-6528
(917) 528-8908
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/16/2024
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