| Organization Name: | SUNITA M. MAKHIJANI PHYSICIAN PLLC |
| NPI Number: | 1609080852 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUNITA M MAKHIJANI (OWNER) |
| Mailing Address: | 12 Little Neck Rd Suite 102 Centerport |
| State: | NY US |
| Postal Code: | 117211613 |
| Phone Number: | 6317570333 |
| Fax Number: | 6317571331 |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 186497 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |