Provider Demographics
NPI:1578868428
Name:SUNNYVIEW MEDICAL PC
Entity Type:Organization
Organization Name:SUNNYVIEW MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAM
Authorized Official - Middle Name:CU
Authorized Official - Last Name:QUAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-670-3530
Mailing Address - Street 1:7814 ROOSEVELT AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6626
Mailing Address - Country:US
Mailing Address - Phone:718-426-8500
Mailing Address - Fax:718-426-8502
Practice Address - Street 1:7814 ROOSEVELT AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6626
Practice Address - Country:US
Practice Address - Phone:718-426-8500
Practice Address - Fax:718-426-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)