Provider Demographics
NPI:1598573594
Name:SUN ZMACHINSKY, JINGSHU
Entity type:Individual
Prefix:
First Name:JINGSHU
Middle Name:
Last Name:SUN ZMACHINSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:BROWNVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04414-3109
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:296 MAIN RD
Practice Address - Street 2:
Practice Address - City:BROWNVILLE
Practice Address - State:ME
Practice Address - Zip Code:04414-3109
Practice Address - Country:US
Practice Address - Phone:310-697-6975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-21
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter