Individual ProviderSanjiv SunderramCounselorBehavioral Health & Social Service ProvidersPractice Address1115 Broadway Fl 11, New York, NY 10010-0058(646) 397-5255(609) 439-7724PECOS EnrollmentBased on the most recent information from CMS, provider Sanjiv Sunderram does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:42 AM.Profile DetailsProvider ID1477353852Provider TypeIndividualFull NameSunderram, SanjivGenderMaleSole ProprietorNoEnumeration Date3/15/2025Last Updated3/15/2025Contact InformationPractice LocationPractice Address1115 Broadway Fl 11, New York, NY 10010-0058Phone(646) 397-5255FaxUnlisted FaxMailing LocationMailing Address230 E 30th St Apt 7g, New York, NY 10016-8287Phone(609) 439-7724FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer