Organization
STEVEN SUNDERRAJ PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW SCOTT MARCUS D.C. (BILLING MANAGER)
(212) 421-1969
Entity
Organization
Contact information
Practice address
32 SEVEN OAKS LN, NANUET, NY 10954-3523
(845) 405-1431
(212) 223-0198
Mailing address
32 SEVEN OAKS LN, NANUET, NY 10954-3523
(845) 405-1431
(212) 223-0198
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
034635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400067797
MEDICARE PROVIDER #
NY
Enumeration date
11/24/2015
Last updated
11/30/2015
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