Organization
SUNRAY CDPAP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MENACHEM ROSENBERG (PRESIDENT)
(718) 478-6729
Entity
Organization
Contact information
Practice address
5323 13TH AVE STE 4, BROOKLYN, NY 11219-3848
(718) 478-6729
Mailing address
3618 14TH AVE, BROOKLYN, NY 11218-3712
(718) 478-6729
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04592238
—
NY
Enumeration date
03/03/2017
Last updated
03/03/2017
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