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Organization
SUGRIM MEDICAL OFFICE PLLC
Active
Organization
SUGRIM MEDICAL OFFICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURENDRA SUGRIM M.D (OWNER)
(718) 322-5322
Entity
Organization
Contact information
Practice address
13106 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-3124
(718) 322-5322
(718) 322-5323
Mailing address
4717 157TH ST, FLUSHING, NY 11355-2345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
254420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03331257
—
NY
Enumeration date
01/20/2011
Last updated
05/26/2011
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