IVANA SU

ASTORIA, NY
NPI1528731601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-07-26
Last Update Date2021-07-26
Business Address
IVANA SU
2510 30TH AVE
ASTORIA, NY 11102-2448
Phone number: 718-932-1000
Mailing Address
IVANA SU
2510 30TH AVE
ASTORIA, NY 11102-2448
Phone number: 718-932-1000
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