# SUNRISE MED PLUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114519238
- **Authorized official:** HECTOR MELGAR (CREDENTIALING)
- **Authorized official phone:** (631) 338-5776

## Contact information

- **Practice address:** 737 COMMACK RD, BRENTWOOD, NY 11717-7407
- **Practice address phone:** (631) 338-5776
- **Mailing address:** 737 COMMACK RD, BRENTWOOD, NY 11717-7407
- **Mailing address phone:** (631) 338-5776
- **Mailing address fax:** (631) 859-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | — | Yes |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2021
- **Last updated:** 06/24/2026