Organization
SUGARHILL MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO M LOPEZ M.D. (MEDICAL DIRECTOR)
(212) 781-5075
Entity
Organization
Contact information
Practice address
4290 BROADWAY STE 2S, NEW YORK, NY 10033-3732
(212) 781-5075
(212) 781-4823
Mailing address
343 W 145TH ST, NEW YORK, NY 10031-5301
(212) 444-8877
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
123637
NY
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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