Healthcare Provider Details
I. General information
NPI: 1891701579
Provider Name (Legal Business Name): SARIKA SUNKU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/01/2006
Last Update Date: 03/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
35 GRASSY SPRAIN RD SUITE #102
YONKERS NY
10710-4516
US
IV. Provider business mailing address
29 CHASE RD UNIT #297
SCARSDALE NY
10583-7593
US
V. Phone/Fax
- Phone: 914-652-7477
- Fax: 914-652-7478
- Phone: 914-652-7477
- Fax: 914-652-7478
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | 226934 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 226934-1 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: