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General NPI Number Information
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NPI Number | 1982862298
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Entity Type | Individual
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Provider Name | NINA SUNDARAM MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 54 W 21ST ST RM 907
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City | NEW YORK
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State | NY
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Zip | 10010-7332
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Country | US
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Telephone | 917-423-2925
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Fax | 646-846-3654
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Provider Business Mailing Address
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Address Line | 317 E 34TH ST 5TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10016-4974
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Country | US
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Telephone | 212-726-7462
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Fax | 212-981-7290
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 254592-1
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License Number State | NY
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