Healthcare Provider Details

I. General information

NPI: 1700856622
Provider Name (Legal Business Name): SONDRA B STURIM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 02/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 HEMPSTEAD TPKE 2ND FLOOR
FRANKLIN SQUARE NY
11010-3636
US

IV. Provider business mailing address

925 HEMPSTEAD TPKE 2ND FLOOR
FRANKLIN SQUARE NY
11010-3636
US

V. Phone/Fax

Practice location:
  • Phone: 516-354-7100
  • Fax: 516-354-7160
Mailing address:
  • Phone: 516-354-7100
  • Fax: 516-354-7160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number197740
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: