SUGRIM MEDICAL OFFICE PLLC NPI 1659676757

NPI Information

SUGRIM MEDICAL OFFICE PLLC is a family medicine in South Richmond Hill, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUGRIM MEDICAL OFFICE PLLC NPI is 1659676757. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13106 LIBERTY AVE
SOUTH RICHMOND HILL, NY
ZIP 11419-124
Phone: (718) 322-5322
Fax: (718) 322-5323

The provider's authorized official is Surendra Sugrim .
The authorized official title is Owner and has the following contact phone number (718) 322-5322.

The CLIA number assigned to this NPI record is 33D2022399 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2011 and was last updated on 5/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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