Healthcare Provider Details

I. General information

NPI: 1356925424
Provider Name (Legal Business Name): SONIA MEHRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 NORTHERN BLVD STE 102
GREAT NECK NY
11021-5310
US

IV. Provider business mailing address

865 NORTHERN BLVD STE 102
GREAT NECK NY
11021-5310
US

V. Phone/Fax

Practice location:
  • Phone: 516-622-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number345002
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: