Basic Information
Provider Information
NPI: 1861710592
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SUNIK
FirstName: ARTEM
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 1 BROOKDALE PLZ STE 666
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112123198
CountryCode: US
TelephoneNumber: 7182407143
FaxNumber: 7184062945
Practice Location
Address1: ONE BROOKDALE PLAZA
Address2: SUITE 400 SNAPPER
City: BROOKLYN
State: NY
PostalCode: 112121121
CountryCode: US
TelephoneNumber: 7182405622
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/05/2010
LastUpdateDate: 06/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XTRN14753FLY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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