Sunrise Senior Service Llc | |
3520 146th St Fl 2 Flushing NY 11354-4267 | |
(929) 595-6013 | |
Not Available |
Full Name | Sunrise Senior Service Llc |
---|---|
Speciality | Psychologist - Adult Development & Aging |
Location | 3520 146th St Fl 2, Flushing, New York |
Authorized Official Name and Position | Taeyoung Song (PRESIDENT) |
Authorized Official Contact | 9295956013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sunrise Senior Service Llc 3520 146th St Fl 2 Flushing NY 11354-4267 Ph: (929) 595-6013 | Sunrise Senior Service Llc 3520 146th St Fl 2 Flushing NY 11354-4267 Ph: (929) 595-6013 |
NPI Number | 1396223780 |
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Provider Enumeration Date | 07/30/2018 |
Last Update Date | 07/14/2023 |
Certification Date | 07/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396223780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Primary |
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