Sugrue, John Paul

Sugrue, John Paul is an individual health care provider with primary practice located at 1500 Route 112 Bldg. 4 - 2Nd Floor, Port Jefferson Station NY 11776-8054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Sugrue, John Paul can be contacted via phone (631) 828-7001.

Contact Information

Primary practice address
1500 Route 112 Bldg. 4 - 2Nd Floor Port Jefferson Station NY 11776-8054
Phone: (631) 828-7001
Fax: (631) 928-0185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 196560-1 New York

Profile Details

NPI number 1245211085
LBN Legal business name Sugrue, John Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Apr 4th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245211085 NPPES
New York MEDICAID 01503126
New York Other P01203599

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