Sun Moon Medical Pllc

NPI #1255954947 in Floral Park, New York

Provider Information

NPI Number: 1255954947
Entity Type: Organization
Organization Name: Sun Moon Medical Pllc
Primary Specialty: Internal Medicine
Enumeration Date: May 28, 2020
Last Updated: May 28, 2020

Practice Location

Address: 8128 268TH ST
City: Floral Park
State: New York
ZIP Code: 11004-1546
Phone: (646) 643-0816

Authorized Official

Name: GANAPATHI BASKAR
Title: MEMBER
Phone: (646) 643-0816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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