Healthcare Provider Details

I. General information

NPI: 1538328190
Provider Name (Legal Business Name): SONIA ELGUERO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2008
Last Update Date: 07/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 ALBANY SHAKER RD
LOUDONVILLE NY
12211-1961
US

IV. Provider business mailing address

399 ALBANY SHAKER ROAD
LOUDONVILLE NY
12211
US

V. Phone/Fax

Practice location:
  • Phone: 518-434-9759
  • Fax:
Mailing address:
  • Phone: 518-434-9759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number275406
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: