Provider Demographics
NPI:1033283049
Name:RYE WALK-IN MEDICAL GROUP PC
Entity Type:Organization
Organization Name:RYE WALK-IN MEDICAL GROUP PC
Other - Org Name:RYE WALK IN MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:C
Authorized Official - Last Name:SUERIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-967-3266
Mailing Address - Street 1:150 PURCHASE ST
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580
Mailing Address - Country:US
Mailing Address - Phone:914-967-3266
Mailing Address - Fax:914-967-3513
Practice Address - Street 1:150 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580
Practice Address - Country:US
Practice Address - Phone:914-967-3266
Practice Address - Fax:914-967-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WOD371Medicare ID - Type Unspecified