Provider Demographics
NPI:1376052621
Name:SUNRAY MEDICAL CARE PC
Entity Type:Organization
Organization Name:SUNRAY MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PING
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-683-7261
Mailing Address - Street 1:761 55TH STREET
Mailing Address - Street 2:FL 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3210
Mailing Address - Country:US
Mailing Address - Phone:718-980-3247
Mailing Address - Fax:
Practice Address - Street 1:761 55TH STREET
Practice Address - Street 2:FL 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3210
Practice Address - Country:US
Practice Address - Phone:718-436-3497
Practice Address - Fax:718-436-3499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217939207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04879690Medicaid