Provider Demographics
NPI:1962732271
Name:RO, ANGELA SUKYN (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:SUKYN
Last Name:RO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:156 W 56TH ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3936
Mailing Address - Country:US
Mailing Address - Phone:866-265-8888
Mailing Address - Fax:448-756-6638
Practice Address - Street 1:156 W 56TH ST STE 1000
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3936
Practice Address - Country:US
Practice Address - Phone:866-826-5888
Practice Address - Fax:844-875-6663
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC171882207RC0000X
AZ72508207RC0000X
COCDRH0072063207RC0000X
FLME165273207RC0000X
CT49364207RC0000X
TXU8655207RC0000X
SC91572207RC0000X
GA100925207RC0000X
NY255459207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease