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NPI Code Detail

MEDICARE: SUGARHILL MEDICAL P.C.

MEDICARE: SUGARHILL MEDICAL P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center123637NY

General Provider Information

NPI Number : 1568723377
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUGARHILL MEDICAL P.C.
Provider Business Mailing Address
First Line : 343 W 145TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10031-5301
Country : US
Telephone Number : 212-444-8877
Fax Number : 646-684-4038
Provider Business Practice Location Address
First Line : 2814 CLARENDON RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-6318
Country : US
Telephone Number : 718-469-7363
Fax Number : 718-469-7551
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : ERNESTO M LOPEZ
Credential : M.D.
Telephone Number : 212-781-5075
Provider Enumeration Date : 06/07/2012
Last Update Date : 06/07/2012

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Directions to “SUGARHILL MEDICAL P.C. ” Practice Location

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