Organization
SUNRISE COMMUNITY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY GORDON (MANAGING PARTNER)
(718) 551-1580
Entity
Organization
Contact information
Practice address
9238 JOHN F KENNEDY BLVD, NORTH BERGEN, NJ 07047
(718) 551-1580
(212) 888-6024
Mailing address
560 HUDSON ST FL 3, HACKENSACK, NJ 07601-6655
(201) 287-1777
(212) 888-6024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/28/2024
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