Su Lat Aung, MD | |
355 Bard Avenue, Department Of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | |
(718) 818-2419 | |
Not Available |
Full Name | Su Lat Aung |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 355 Bard Avenue, Staten Island, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013537422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208M00000X | Hospitalist | A180873 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Su Lat Aung, MD 355 Bard Avenue, Department Of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 Ph: () - | Su Lat Aung, MD 355 Bard Avenue, Department Of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 Ph: (718) 818-2419 |
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