Search › New York › 363LA2200X
Ianina Suponitsky, AGNP
NPI 1124407465 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1773 E 12th St
#4d
Brooklyn, NY 11229 - Phone
- (347) 713-3023
- Fax
- (718) 208-4022
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York