MEDICARE: SORIN MEDICAL PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	202K00000X	Phlebology Physician
2	207RI0011X	Interventional Cardiology Physician
3	2085U0001X	Diagnostic Ultrasound Physician
4	2086S0129X	Vascular Surgery Physician
5	2471C1101X	Cardiovascular-Interventional Technology Radiologic Technologist
6	2471S1302X	Sonography Radiologic Technologist
7	2471V0105X	Vascular Sonography Radiologic Technologist
8	2471V0106X	Vascular-Interventional Technology Radiologic Technologist
9	261QM1300X	Multi-Specialty Clinic/Center
10	261QR0200X	Radiology Clinic/Center
11	2085R0204X	Vascular & Interventional Radiology Physician

General Provider Information

NPI Number	:	1841929460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SORIN MEDICAL PC

Provider Business Mailing Address
First Line	:	8718 BAY PARKWAY
Second Line	:	FLOORS1 AND 2
City	:	BROOKLYN
State	:	NY
Zip	:	11214
Country	:	US
Telephone Number	:	718-266-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 WALL ST STE 175
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10005-3904
Country	:	US
Telephone Number	:	718-266-0900
Fax Number	:	718-266-1426

Authorized Official
Title or Position	:	MANAGER
Name	:	ERICA GOMEZ
Credential	:
Telephone Number	:	718-266-0900

Provider Enumeration Date	:	06/08/2022
Last Update Date	:	06/08/2022

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Directions to “SORIN MEDICAL PC ” Practice Location

Language	Start Address	Practice Location

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