SUN MOUNTAIN MEDICAL PLLC, Pain Medicine CORONA, NY

Contact Information

SUN MOUNTAIN MEDICAL PLLC

4140 JUNCTION BLVD
CORONA, NY 11368-3584

Phone: 917-400-3941
Fax: 718-447-7831
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation
Addiction Medicine	2083A0300X	84	Physician/Preventive Medicine
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation

Indicates primary specialty

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NPI Profile & details for SUN MOUNTAIN MEDICAL PLLC · (Female)

NPI Number	`1265237085`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/17/2025
Last updated	02/17/2025 - More than a year ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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