Sunderraj, Mary

Sunderraj, Mary is an individual health care provider with primary practice located at 14015 Holly Ave , Flushing NY 11355-3433. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Sunderraj, Mary can be contacted via phone (718) 359-3113.

Contact Information

Primary practice address
14015 Holly Ave Flushing NY 11355-3433
Phone: (718) 359-3113
Fax: (718) 961-1665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 38331 New York

Profile Details

NPI number 1417946880
LBN Legal business name Sunderraj, Mary
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417946880 NPPES
New York MEDICAID 00829410

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