Healthcare Provider Details

I. General information

NPI: 1265999486
Provider Name (Legal Business Name): SUSAN SINAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2019
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD STE 2070
MIAMI BEACH FL
33140-2948
US

IV. Provider business mailing address

89 BARTLETT ST
BROOKLYN NY
11206-4463
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2641
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11031270
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number755038
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: