Individual
JIA HUI SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7206 BAY PKWY, BROOKLYN, NY 11204-6026
(718) 489-9118
(718) 232-1904
Mailing address
7206 BAY PKWY, BROOKLYN, NY 11204-6026
(917) 346-8658
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309326-01
NY
Other
Enumeration date
12/15/2019
Last updated
04/20/2023
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