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General NPI Number Information
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NPI Number | 1073650545
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Entity Type | Individual
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Provider Name | EMILIA MIA SORDILLO M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | ST.LUKE'S ROOSEVELT HOSPITAL CENTER 1111 AMSTERDAM AVENUE
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City | NEW YORK
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State | NY
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Zip | 10025
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Country | US
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Telephone | 212-523-4326
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Fax |
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Provider Business Mailing Address
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Address Line | 78 E 79TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-0217
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Country | US
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Telephone | 212-523-4326
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 159905
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207ZM0300X
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Taxonomy Name | Medical Microbiology Physician
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License Number | 159905
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | 159905
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License Number State | NY
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