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Organization
SUNRISE SENIOR SERVICE LLC
Active
Organization
SUNRISE SENIOR SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAEYOUNG SONG (PRESIDENT)
(929) 595-6013
Entity
Organization
Contact information
Practice address
3520 146TH ST FL 2, FLUSHING, NY 11354-4267
(929) 595-6013
Mailing address
3520 146TH ST FL 2, FLUSHING, NY 11354-4267
(929) 595-6013
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
NULL
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/14/2023
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