Organization · Type 2 NPI

Sun River Health Inc

Federally Qualified Health Center (FQHC) · Staten Island, NY

NPI number 1184107963 Active

Practice location

56 Bay Street, Brightpoint 56 Bay Street Outpatient Treatment
Staten Island, NY 10301-2563

Call (718) 808-1439 Map

Fax (718) 808-1393

Mailing address

PO Box 5036
White Plains, NY 10602-5036

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	5901200R (NY)

Federally Qualified Health Center (FQHC): Definition to come...

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NPI record

NPI: 1184107963
Entity type: Organization (Type 2)
Issued: Sep 8, 2018
Last updated: Mar 14, 2022
Status: Active
Subpart: Yes of Sun River Health Inc

Other names

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Brightpoint 56 Bay Street Outpatient Treatment · other name
Brightpoint 56 Bay Street Outpatient Treatment · other name

Authorized official

Adam Lipton
VP Info/practice MGMT Systems
(914) 384-2375

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About NPI 1184107963

Sun River Health Inc's National Provider Identifier is 1184107963, issued on Sep 8, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Staten Island, NY. The record was last updated on Mar 14, 2022.