Provider Demographics
NPI:1598074254
Name:SUNSHINE PEDIATRICS PLLC
Entity Type:Organization
Organization Name:SUNSHINE PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-880-2050
Mailing Address - Street 1:PO BOX 670008
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-0008
Mailing Address - Country:US
Mailing Address - Phone:718-880-2050
Mailing Address - Fax:718-880-2052
Practice Address - Street 1:14402 JEWEL AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1744
Practice Address - Country:US
Practice Address - Phone:718-880-2050
Practice Address - Fax:718-880-2052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151792208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty