Healthcare Provider Details

I. General information

NPI: 1023922762
Provider Name (Legal Business Name): PATRICK SOMMO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 NEW SCOTLAND AVE
ALBANY NY
12208-3478
US

IV. Provider business mailing address

1468 SIVER RD
GUILDERLAND NY
12084-9775
US

V. Phone/Fax

Practice location:
  • Phone: 518-264-6062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number040104
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: