| NPI | 1518169028 |
|---|---|
| Doing Business As | SUNNYSIDE FAMILY FOOT CARE |
| Entity Type | Organization |
| Authorized Contact | ROGER ADAM HANS Dr. 718-784-1761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY bh3401887) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |