Organization
SUNRISE MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA S REN M.D. (PRESIDENT)
(718) 439-8700
Entity
Organization
Contact information
Practice address
762 59TH ST APT 6, BROOKLYN, NY 11220-3920
(718) 439-8700
(718) 439-8702
Mailing address
762 59TH ST APT 6, BROOKLYN, NY 11220-3920
(718) 439-8700
(718) 439-8702
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
235794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02875616
—
NY
Enumeration date
10/01/2008
Last updated
10/01/2008
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