SUN MOUNTAIN MEDICAL PLLC; NPI #1265237085

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

NPI #	`1265237085`
LBN Legal business name	SUN MOUNTAIN MEDICAL PLLC
Authorized official	SHAILESH PATHARE - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/17/2025
Last updated	02/17/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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