Sunnyside Pediatric Endocrinology, PC

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

236478 Issued in NY

Legal business name

SUNNYSIDE PEDIATRIC ENDOCRINOLOGY, PC

Practice address

4701 Queens Blvd
Ste 302
Sunnyside, NY 11104-1600

Phone

(718) 707-3434

Fax

(718) 707-3435

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Mireya H Garcia, M.D.

Title

President

Phone

(718) 707-3434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1225330962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "STE 302",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041600",
            "telephone_number": "718-707-3434",
            "fax_number": "718-707-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "STE 302",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041600",
            "telephone_number": "718-707-3434",
            "fax_number": "718-707-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE PEDIATRIC ENDOCRINOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MIREYA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-707-3434",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "236478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunnyside Medical Office PC
• Sunnyside Medical PC
• Sunnyside Medical Practice PC
• Sunnyside Optometry P.C.
• Sunnyside Orthodontics
• Survival Kids
• Stephanie Tan
• Sheri Taylor, OTR
• Sepideh Toloue, DMD
• Crystal Eudaliza Toribio, PHARMD

• Pediatric Endocrinology Physician in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Pediatric Endocrinology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.