Healthcare Provider Details

I. General information

NPI: 1396681987
Provider Name (Legal Business Name): SUN BB FAMILY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14607 NEGUNDO AVE
FLUSHING NY
11355-3556
US

IV. Provider business mailing address

14607 NEGUNDO AVE
FLUSHING NY
11355-3556
US

V. Phone/Fax

Practice location:
  • Phone: 347-634-3819
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: JIA LU
Title or Position: MANAGER
Credential:
Phone: 347-634-3819