Healthcare Provider Details

I. General information

NPI: 1154533719
Provider Name (Legal Business Name): BERNARD D SOKOLOWSKI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 WALTON AVE DOCTORS OFFICE
BRONX NY
10451-2306
US

IV. Provider business mailing address

825 WALTON AVE DOCTORS OFFICE
BRONX NY
10451-2306
US

V. Phone/Fax

Practice location:
  • Phone: 718-402-1800
  • Fax: 718-402-2366
Mailing address:
  • Phone: 718-402-1800
  • Fax: 718-402-2366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number003989-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number003989-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: