Organization
PREMIUM MEDICAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN SUN (BILLER)
(718) 961-8881
Entity
Organization
Contact information
Practice address
13203 SANFORD AVE, UNIT 1C, 1D, FLUSHING, NY 11355-4309
(212) 470-1500
(718) 961-4333
Mailing address
6 PEPPERMILL RD, ROSLYN, NY 11576-3106
(212) 470-1500
(718) 961-4333
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
224337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01717826
—
NY
05
—
02266255
—
NY
Enumeration date
05/23/2007
Last updated
08/20/2021
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