SUGARHILL MEDICAL P.C. (NPI# 1316208127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316208127 |
| Entity Type | Organization |
| Organization Name | SUGARHILL MEDICAL P.C. |
| Practice Address |
4290 Broadway Ste 2s New York NY 10033-3732 |
| Mailing Address |
343 W 145th St New York NY 10031-5301 |
| Practice Telephone | 2127815075 |
| Practice Fax Number | 2127814823 |
| Mailing Telephone | 2124448877 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |
| Authorized Official Name | ERNESTO M LOPEZ (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2127815075 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
123637 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891057089 | Sugarhill Medical P.C. | Clinic/Center | 1576 Flatbush Ave, Brooklyn, NY 11210-3046 | 2012-06-13 |
| 1568723377 | Sugarhill Medical P.C. | Clinic/Center | 2814 Clarendon Rd, Brooklyn, NY 11226-6318 | 2012-06-07 |
| Street Address |
4290 BROADWAY STE 2S |
| City | NEW YORK |
| State | NY |
| Zip Code | 10033-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922183391 | Mikhail Tetrok | Family Medicine | 4290 Broadway Ste 2s, New York, NY 10033-3732 | 2006-10-26 |
| 1285071266 | Allcity Medical, P.C. | Clinic/Center | 4290 Broadway Ste 2s, New York, NY 10033-3732 | 2013-05-30 |
| 1962684159 | Alla B Buzinover | Family Medicine | 4290 Broadway Ste 2s, New York, NY 10033-3732 | 2007-11-29 |
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|---|---|---|---|---|
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| 1053971903 | Daniel Harmeyer | Registered Nurse | 560 W 168th St, New York, Ny 10032, New York, NY 10033 | 2019-06-13 |
| 1770141038 | Rio Espiritu | Physical Therapist | 601 West 182nd.street, New York, NY 10033 | 2019-06-03 |
| 1154986255 | Gira Ileana Graciano Mireles | Student in an Organized Health Care Education/Training Program | 355 Bart Avenue, Department of Medicine Villa Bldg 1st Floor, New York, NY 10033 | 2019-05-03 |
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| Find all providers in zip 10033 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.