MEDICARE: DR. SURESH SUNDARAM DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	049151-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578637823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SURESH SUNDARAM DDS

Provider Business Mailing Address
First Line	:	100 SARATOGA VILLAGE BLVD
Second Line	:	SUITE 36A
City	:	BALLSTON SPA
State	:	NY
Zip	:	12020-3737
Country	:	US
Telephone Number	:	518-899-9783
Fax Number	:	518-899-4007

Provider Business Practice Location Address
First Line	:	4 NORMANSKILL BLVD
Second Line	:
City	:	DELMAR
State	:	NY
Zip	:	12054-1335
Country	:	US
Telephone Number	:	518-475-7822
Fax Number	:	518-439-0530

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1598757544 — MRS. MEGAN MCCABE PNP-C
Practice Location Address:

4 NORMANSKILL BLVD
DELMAR, NY
12054-1335

Practice Phone: 518-478-9423
Practice Fax: 518-439-7046

1053303974 — DR. KENNETH J KROOPNICK M.D.
Practice Location Address:

4 NORMANSKILL BLVD
DELMAR, NY
12054-1335

Practice Phone: 518-478-9423
Practice Fax: 518-439-7046

1023098555 — DR. JACK DEVORE O.D.
Practice Location Address:

4 NORMANSKILL BLVD , SUITE 400
DELMAR, NY
12054-1335

Practice Phone: 518-478-9992
Practice Fax: 518-439-0796

1336252790 — MS. SANDRA S COHEN LCSW
Practice Location Address:

4 NORMANSKILL BLVD , STE 402
DELMAR, NY
12054-1335

Practice Phone: 518-439-8442
Practice Fax: 518-463-0340

1326112673 — DR. ROBERT BRAND DDS
Practice Location Address:

4 NORMANSKILL BLVD
DELMAR, NY
12054-1335

Practice Phone: 518-475-7822
Practice Fax: 518-439-0530

1528101409 — CAPITAL AREA HUDSON VALLEY NY DENTAL, PC
Practice Location Address:

4 NORMANSKILL BLVD
DELMAR, NY
12054-1335

Practice Phone: 518-475-7822
Practice Fax: 518-439-0530

Directions to “ DR. SURESH SUNDARAM DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.