Healthcare Provider Details

I. General information

NPI: 1538189642
Provider Name (Legal Business Name): SONALI LAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 08/11/2024
Certification Date: 08/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 W 73RD ST 1 FLOOR
NEW YORK NY
10023-2700
US

IV. Provider business mailing address

240 W 73RD ST
NEW YORK NY
10023-2700
US

V. Phone/Fax

Practice location:
  • Phone: 212-362-4742
  • Fax: 212-787-5275
Mailing address:
  • Phone: 212-362-4742
  • Fax: 212-787-5275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number240678
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: