Organization
SUN RIVER HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM LIPTON (VP PRACTICE MANAGEMENT)
(914) 384-2375
Entity
Organization
Contact information
Practice address
4377 BRONX BLVD, BRONX, NY 10466-1397
(718) 325-0700
(718) 684-5266
Mailing address
4377 BRONX BLVD, BRONX, NY 10466-1397
(718) 325-0700
(718) 684-5266
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
Enumeration date
12/12/2022
Last updated
12/12/2022
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