Sunrise Ent PC

NPI #1366919953 in Lindenhurst, New York

Provider Information

NPI Number: 1366919953
Entity Type: Organization
Organization Name: Sunrise Ent PC
Primary Specialty: Otolaryngology - Facial Plastic Surgery
Enumeration Date: Nov 1, 2018
Last Updated: Nov 1, 2018

Practice Location

Address: 100 SUNRISE HWY
City: Lindenhurst
State: New York
ZIP Code: 11757-2544
Phone: (631) 226-1800

Authorized Official

Name: JOHN GROSSO, MD
Title: PHYSICISN
Phone: (631) 226-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Facial Plastic Surgery — Facial Plastic Surgery	207YS0123X	Primary

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