Individual
WILLIAM SUGRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST RM 2, BRONX, NY 10467-2401
(718) 920-8291
(718) 515-0697
Mailing address
111 E 210TH ST RM 2, BRONX, NY 10467-2401
(718) 920-8291
(718) 515-0697
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
297075
NY
2084N0600X
Clinical Neurophysiology Physician
297075
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
05/13/2025
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