| Sunrise Medical Group | |
|
535 Clinton Ave Bsmt Brooklyn NY 11238-6589 | |
| (718) 789-5900 | |
| (718) 635-5850 |
| Full Name | Sunrise Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 535 Clinton Ave Bsmt, Brooklyn, New York |
| Authorized Official Name and Position | Jedidiah Burack (TREASURER) |
| Authorized Official Contact | 7187895900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Medical Group 535 Clinton Ave Bsmt Brooklyn NY 11238-6589 Ph: (718) 789-5900 | Sunrise Medical Group 535 Clinton Ave Bsmt Brooklyn NY 11238-6589 Ph: (718) 789-5900 |
| NPI Number | 1790712537 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 12/08/2021 |
| Medicare PECOS PAC ID | 6608856455 |
|---|---|
| Medicare Enrollment ID | O20040722000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790712537 | NPI | - | NPPES |
| 02187731 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pyone Maung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205866357 PECOS PAC ID: 7618865759 Enrollment ID: I20040309001058 |
| Provider Name | Ronald Dailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336252816 PECOS PAC ID: 4385624139 Enrollment ID: I20040727001529 |
| Provider Name | Jedidiah Burack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013984392 PECOS PAC ID: 3577543321 Enrollment ID: I20040727001581 |
| Provider Name | Arlene Perkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699873216 PECOS PAC ID: 9830197607 Enrollment ID: I20061110000325 |
| Provider Name | Kevin Lapin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770857088 PECOS PAC ID: 6608027883 Enrollment ID: I20121116000186 |
| Provider Name | Gary R Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649533738 PECOS PAC ID: 2668692922 Enrollment ID: I20141008001752 |
| Provider Name | Lina Katsman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760741771 PECOS PAC ID: 5496043838 Enrollment ID: I20161018000883 |
| Provider Name | Rada Norov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326435512 PECOS PAC ID: 8628316742 Enrollment ID: I20190215001622 |
| Provider Name | Zvi J Plawes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740623693 PECOS PAC ID: 5991049942 Enrollment ID: I20190709000867 |
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