Michelina Sundberg in Riverhead - Medical

Michelina Sundberg - NPI 1669462370

Michelina Sundberg is a Medical in Riverhead, New York. Michelina Sundberg practices all healthcare services and medical treatments related to Medical. The NPI Number for Michelina Sundberg is 1669462370. The last update date is 2021-04-02.

Michelina Sundberg's current location address is 951 Roanoke Ave, Riverhead, New York. You can contact this provider via phone number 6313695005 and fax number 6313694994. The mailing address for Michelina Sundberg is 951 Roanoke Ave, Riverhead, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelina Sundberg
Address 951 Roanoke Ave, Riverhead, New York
Phone Number 6313695005
Fax Number 6313694994
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1669462370
Provider Enumeration Date 2005-10-24
Last Updated Date 2021-04-02

Provider Mailing Address Detail

Address 951 Roanoke Ave
City Riverhead
State New York (NY)
Post Code 119012724
Phone Number 6313695005
Fax Number 6313694994

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 8222
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2519753 NY --

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FAQs about Michelina Sundberg

What is the Michelina Sundberg's unique identification number?

The Michelina Sundberg has been assigned the NPI (National Provider Identifier) Number 1669462370 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Michelina Sundberg's physical address?

The Michelina Sundberg is physically located at 951 Roanoke Ave, in the city of Riverhead, NY, with the postal code 119012724.

What is Michelina Sundberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michelina Sundberg is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.

On what date did the Michelina Sundberg receive its 1669462370 assignment from the Centers for Medicare & Medicaid Services?

The Michelina Sundberg was assigned its 1669462370 by the Centers for Medicare & Medicaid Services on 2005-10-24.

As of what date were the details pertaining to Michelina Sundberg last refreshed?

The information related to the Michelina Sundberg, including its address, specialty, and other relevant details, was last updated on 2021-04-02.

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