1093336307 NPI number — SUNSHINE THERAPY LCSW PC

Table of content: (NPI 1093336307)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093336307 NPI number — SUNSHINE THERAPY LCSW PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUNSHINE THERAPY LCSW PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093336307
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
108 WEBSTER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE RONKONKOMA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11779-1626
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
80 MAPLE AVE STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SMITHTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11787-3520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-306-4284
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2020

Additional Information

Authorized Official

Authorized Official Last Name:
STADLER
Authorized Official First Name:
STEFANIE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
631-682-7451

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1598202780 . This is a "NPI" identifier . This identifiers is of the category "OTHER".




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