# SUGARHILL MEDICAL P.C.

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

## Provider details

- **NPI number:** 1316208127
- **Authorized official:** ERNESTO M LOPEZ M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 781-5075

## Contact information

- **Practice address:** 4290 BROADWAY STE 2S, NEW YORK, NY 10033-3732
- **Practice address phone:** (212) 781-5075
- **Practice address fax:** (212) 781-4823
- **Mailing address:** 343 W 145TH ST, NEW YORK, NY 10031-5301
- **Mailing address phone:** (212) 444-8877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 123637 | NY | Yes |

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 06/07/2012