Provider Demographics
NPI:1851917884
Name:SYNERGY MEDICAL CARE, LLC
Entity Type:Organization
Organization Name:SYNERGY MEDICAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAKINA
Authorized Official - Middle Name:FIROZ
Authorized Official - Last Name:DINANI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-677-8680
Mailing Address - Street 1:305 W GRAND AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1813
Mailing Address - Country:US
Mailing Address - Phone:201-677-8680
Mailing Address - Fax:888-425-6116
Practice Address - Street 1:305 W GRAND AVE STE 900
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-1813
Practice Address - Country:US
Practice Address - Phone:201-677-8680
Practice Address - Fax:888-425-6116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center