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Organization
SUNRISE MED PLUS LLC
Active
Organization
SUNRISE MED PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MELGAR (CREDENTIALING)
(631) 338-5776
Entity
Organization
Contact information
Practice address
737 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 338-5776
Mailing address
737 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 338-5776
(631) 859-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
06/24/2026
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