| Sunnyside Medical Services, P.c. | |
|
1491 Richmond Rd Staten Island NY 10304-2311 | |
| (718) 273-6999 | |
| (718) 273-4394 |
| Full Name | Sunnyside Medical Services, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1491 Richmond Rd, Staten Island, New York |
| Authorized Official Name and Position | Edward J Levine (HEALTH CARE PROVIDER) |
| Authorized Official Contact | 7182736999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnyside Medical Services, P.c. 1491 Richmond Rd Staten Island NY 10304-2311 Ph: (718) 273-6999 | Sunnyside Medical Services, P.c. 1491 Richmond Rd Staten Island NY 10304-2311 Ph: (718) 273-6999 |
| NPI Number | 1942517321 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 03/22/2018 |
| Medicare PECOS PAC ID | 3476679895 |
|---|---|
| Medicare Enrollment ID | O20100923000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942517321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 152068 (New York) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward J Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689761926 PECOS PAC ID: 9739205154 Enrollment ID: I20100923000032 |
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