Sudara PT PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

030017-1 Issued in NY

Legal business name

SUDARA PT PC

Practice address

5327 18TH Ave
Brooklyn, NY 11204-1523

Phone

(718) 236-7707

Fax

(718) 236-3300

NPI assigned

Feb 15, 2011

Last updated

Feb 15, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Perez- Herranz, P.T.

Title

P.T.

Phone

(718) 236-7707

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1043517790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041523",
            "telephone_number": "718-236-7707",
            "fax_number": "718-236-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041523",
            "telephone_number": "718-236-7707",
            "fax_number": "718-236-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDARA PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ- HERRANZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "718-236-7707",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "030017-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaya Mussia Sudak
• Tzaiti Sudak
• Julia Sudakov, RPH
• Victoria Sudakova, MOT
• Michele F Sudano, LCSW
• Rahat Nawaz Suddle, MD
• Gayathri Sudha Hari, M.D.
• Sudha Patel MD PLLC (Sudha Patel M.D.)
• Sudha Patel MD PLLC
• Sudha R Shah MD PC

• Physical Therapy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.