institution
Anna Suponya Medical Practice, Pllc
Medical Specialty Clinic/Center in Brooklyn, New York
NPI 1871672980

Anna Suponya Medical Practice, Pllc is a Medical Specialty Clinic/Center based in Brooklyn, NY and is specialized in Medical Specialty. Anna Suponya Medical Practice, Pllc practices in Brooklyn, NY. The NPI Number for Anna Suponya Medical Practice, Pllc is 1871672980 and holds a License No. 229325 (New York).

The current practice location address for Anna Suponya Medical Practice, Pllc is 9920 4Th Ave Ste 206, Brooklyn, NY and can be reached out via phone at 718-238-8373 and via fax at 718-238-8375.

Location: 9920 4Th Ave Ste 206, Brooklyn, NY, 11209-8328
institution
Provider Profile Details
NPI Number
1871672980
Provider Name
Anna Suponya Medical Practice, Pllc
Credential
Provider Entity Type
Organization
Address
9920 4Th Ave Ste 206, Brooklyn, NY, 11209-8328
Phone Number
718-238-8373
Fax Number
718-238-8375
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02575588 05 NY
institution
Provider Business Practice Location Address Details
Address
9920 4Th Ave Ste 206
City
State
Zip
11209-8328
Phone Number
718-238-8373
Fax Number
718-238-8375
person
Provider Business Mailing Address Details
Address
9920 4Th Ave Ste 206
City
State
Zip
11209-8328
Phone Number
718-238-8373
Fax Number
718-238-8375
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
229325 (New York)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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