Provider Demographics
NPI:1588403810
Name:ROSEY SULTANA MEDICAL CARE PC
Entity type:Organization
Organization Name:ROSEY SULTANA MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SULTANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-313-4545
Mailing Address - Street 1:3 WOOD ACRES RD
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-2911
Mailing Address - Country:US
Mailing Address - Phone:718-313-4545
Mailing Address - Fax:718-313-4546
Practice Address - Street 1:10302 LEFFERTS BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-2012
Practice Address - Country:US
Practice Address - Phone:718-313-4545
Practice Address - Fax:718-313-4546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty