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General NPI Number Information
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NPI Number | 1225535982
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Entity Type | Individual
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Provider Name | SONNY AHLUWALIA DO
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Gender | Male
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 1300 UNION TPKE STE 203
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1759
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Country | US
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Telephone | 516-419-4480
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Fax |
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Provider Business Mailing Address
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Address Line | 5034 175TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-1620
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Country | US
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Telephone | 718-314-2057
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 324838
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License Number State | NY
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