Healthcare Provider Details

I. General information

NPI: 1285994012
Provider Name (Legal Business Name): SUNSHINE WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2012
Last Update Date: 05/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3506 LEAVITT ST UNIT CF-E
FLUSHING NY
11354-2906
US

IV. Provider business mailing address

3506 LEAVITT ST UNIT CF-E
FLUSHING NY
11354-2906
US

V. Phone/Fax

Practice location:
  • Phone: 718-762-9100
  • Fax: 888-551-3188
Mailing address:
  • Phone: 718-762-9100
  • Fax: 888-551-3188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HAO LI
Title or Position: ADMINISTRATOR
Credential:
Phone: 718-762-9100