MEDICARE: SONIA KOHLI DDS PC

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	P48421	NY

General Provider Information

NPI Number	:	1811106727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONIA KOHLI DDS PC

Provider Business Mailing Address
First Line	:	18 E 50TH ST
Second Line	:	SUITE 5A
City	:	NEW YORK
State	:	NY
Zip	:	10022-6817
Country	:	US
Telephone Number	:	917-711-5287
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 E 34TH ST
Second Line	:	APT N 29 A
City	:	NEW YORK
State	:	NY
Zip	:	10016-4914
Country	:	US
Telephone Number	:	917-715-2875
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MISS SONIA KOHLI
Credential	:
Telephone Number	:	212-644-6360

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	12/06/2007

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