Healthcare Provider Details

I. General information

NPI: 1700888450
Provider Name (Legal Business Name): SONYA S STRASSBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 08/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODS RD WESTCHESTER MEDICAL CENTER-PEDIATRICS
VALHALLA NY
10595-1530
US

IV. Provider business mailing address

22 SAW MILL RIVER RD 2ND FLOOR
HAWTHORNE NY
10532-1533
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-8558
  • Fax: 914-493-1488
Mailing address:
  • Phone: 914-493-8558
  • Fax: 914-493-1488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number221817
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier02577493
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer
# 2
Identifier1012213030001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: