| Sun On Fire | |
|
14715c Roosevelt Ave Flushing NY 11354-4757 | |
| (646) 596-5134 | |
| Not Available |
| Full Name | Sun On Fire |
|---|---|
| Speciality | Dentist |
| Location | 14715c Roosevelt Ave, Flushing, New York |
| Authorized Official Name and Position | Rachel L Sun (PRESIDENT) |
| Authorized Official Contact | 6465965134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun On Fire 147 Roosevelt Ave Unit 15c Flushing NY 11354-4757 Ph: (646) 596-5134 | Sun On Fire 14715c Roosevelt Ave Flushing NY 11354-4757 Ph: (646) 596-5134 |
| NPI Number | 1477737302 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477737302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 053023-1 (New York) | Primary |
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