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NPI 1598844433

NPI 1598844433 : YEFIM ISAAC SOSONKIN D.O. : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1598844433
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    Entity Type          |    Individual 
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    Provider Name        |    YEFIM ISAAC SOSONKIN D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/02/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2221 OCEAN AVE 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11229-2303
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    Country              |    US
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    Telephone            |    718-787-0333
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    Fax                  |    718-787-1468
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Provider Business Mailing Address
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    Address Line         |    PO BOX 297154 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11229-7154
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    Country              |    US
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    Telephone            |    718-787-0333
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    Fax                  |    718-787-1468
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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        |    207QA0000X
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    Taxonomy Name        |    Adolescent Medicine (Family Medicine) Physician
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    License Number       |    209924
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    209924
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    License Number State |    NY
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