Healthcare Provider Details

I. General information

NPI: 1295973600
Provider Name (Legal Business Name): STERLING MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 04/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8003 211TH ST
QUEENS VILLAGE NY
11427-1012
US

IV. Provider business mailing address

8003 211TH ST
QUEENS VILLAGE NY
11427-1012
US

V. Phone/Fax

Practice location:
  • Phone: 718-464-9699
  • Fax: 718-740-0319
Mailing address:
  • Phone: 718-464-9699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number182782-1
License Number StateNY

VIII. Authorized Official

Name: DR. TSILIA SORINA
Title or Position: PRESIDENT
Credential: MD
Phone: 718-464-9699