# SUNRISE PAIN AND REHABILITATION MEDICINE PC

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

## Provider details

- **NPI number:** 1205263290
- **Authorized official:** MRS. WANDA WANG (MANAGER)
- **Authorized official phone:** (347) 763-1091

## Contact information

- **Practice address:** 4602 6TH AVE, BROOKLYN, NY 11220-1317
- **Practice address phone:** (347) 763-1091
- **Practice address fax:** (347) 763-1092
- **Mailing address:** 4602 6TH AVE, BROOKLYN, NY 11220-1317
- **Mailing address phone:** (347) 763-1091
- **Mailing address fax:** (347) 763-1092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 2030351 | NY | Yes |

## Other

- **Enumeration date:** 10/04/2013
- **Last updated:** 06/09/2014