Healthcare Provider Details

I. General information

NPI: 1750898565
Provider Name (Legal Business Name): MISSION MEDICAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2018
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 SUNRISE HWY STE 1-274
ROCKVILLE CENTRE NY
11570-4912
US

IV. Provider business mailing address

265 SUNRISE HWY STE 1-274
ROCKVILLE CENTRE NY
11570-4912
US

V. Phone/Fax

Practice location:
  • Phone: 212-803-3339
  • Fax:
Mailing address:
  • Phone: 212-803-3339
  • Fax: 646-768-8600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VIKRAM SENGUPTA
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 212-803-3339