Healthcare Provider Details

I. General information

NPI: 1518586239
Provider Name (Legal Business Name): JASMINE SIMONE SONDHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 MARCUS AVE STE W290
NEW HYDE PARK NY
11042-1098
US

IV. Provider business mailing address

2001 MARCUS AVE STE W290
NEW HYDE PARK NY
11042-1098
US

V. Phone/Fax

Practice location:
  • Phone: 516-465-5255
  • Fax: 718-347-2240
Mailing address:
  • Phone: 516-465-5255
  • Fax: 718-347-2240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0005X
TaxonomyNeurodevelopmental Disabilities Physician
License Number336252-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number336252-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: