Organization
SUNNYSIDE MEDICAL OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIL A RUIZ (EXECUTIVE PRESIDENT)
(718) 383-1010
Entity
Organization
Contact information
Practice address
4510 SKILLMAN AVE, SUNNYSIDE, NY 11104-2117
(718) 383-1010
(718) 383-1114
Mailing address
4510 SKILLMAN AVE, SUNNYSIDE, NY 11104-2117
(718) 383-1010
(718) 383-1114
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
NY
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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