NPI | 1790712537 |
---|---|
Doing Business As | SUNRISE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JEDIDIAH BURACK Treasurer 718-789-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2006-06-27 |
Last Update Date | 2021-12-08 |