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Organization

SUNRISE MEDICAL PRACTICE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN SCHIEBERT DO (PRESIDENT)
(718) 667-5400
Entity
Organization

Contact information

Practice address
1975 HYLAN BLVD, STATEN ISLAND, NY 10306-3526
(718) 667-5400
(718) 351-6848
Mailing address
1975 HYLAN BLVD, STATEN ISLAND, NY 10306-3523
(718) 667-5400
(718) 351-6848

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
257063
NY

Other

Enumeration date
03/27/2014
Last updated
03/27/2014
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