Sugrim Medical Office Pllc

LBN: Sugrim Medical Office Pllc
Sugrim Medical Office Pllc is an health care organization with primary practice located at 13106 Liberty Ave , South Richmond Hill NY 11419-3124. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sugrim Medical Office Pllc can be contacted via phone (718) 322-5322, or through Sugrim, Surendra via phone (718) 322-5322.

Contact Information

Primary practice address
13106 Liberty Ave South Richmond Hill NY 11419-3124
Phone: (718) 322-5322
Fax: (718) 322-5323
Website:
Map and Directions
Authorized official contact:
Name: Sugrim, Surendra Doctor of Medicine (MD)
Phone: (718) 322-5322

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 254420 New York

Profile Details

NPI number 1659676757
LBN Legal business name Sugrim Medical Office Pllc
DBA Doing business as
Authorized official Sugrim, Surendra Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2011
Last updated May 26th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659676757 NPPES
New York MEDICAID 03331257

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