Organization
JON R SUNDELL DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON R SUNDELL DPM (PRESIDENT)
(917) 207-9076
Entity
Organization
Contact information
Practice address
7355 AMBOY RD, STATEN ISLAND, NY 10307-1426
(917) 207-9076
Mailing address
7355 AMBOY RD, STATEN ISLAND, NY 10307-1426
(917) 207-9076
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005463
NY
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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