MEDICARE: DR. WILLIAM MURRAY SOROKA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	24215	NY

General Provider Information

NPI Number	:	1407814288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM MURRAY SOROKA DDS

Provider Business Mailing Address
First Line	:	2 SURREY RD
Second Line	:
City	:	CHESTER
State	:	NY
Zip	:	10918-1104
Country	:	US
Telephone Number	:	845-469-4446
Fax Number	:	845-469-1054

Provider Business Practice Location Address
First Line	:	2 SURREY RD
Second Line	:
City	:	CHESTER
State	:	NY
Zip	:	10918-1104
Country	:	US
Telephone Number	:	845-469-4446
Fax Number	:	845-469-1054

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/08/2007

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