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Organization

SUNRISE MED PLUS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HECTOR MELGAR (CREDENTIALING)
(631) 790-9436
Entity
Organization

Contact information

Practice address
737 COMMACK RD, BRENTWOOD, NY 11717-7407
(000) 000-0000
Mailing address
737 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 388-7500
(631) 859-1100

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
02/10/2021
Last updated
01/27/2026
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