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Contact Information

JON R SUNDELL, DPM
52 BENTLEY LANE
STATEN ISLAND, NY10307
 Phone: 917-207-9076
 Fax: 888-286-5814
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JON R SUNDELL · (Male)

NPI # 1578583522
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/20/2006
Last updated 10/01/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # N005463
  • NY Medicaid 01948443
  • NY Medicaid 02519726
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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