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General NPI Number Information
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NPI Number | 1649834623
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Entity Type | Organization
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Legal Business Name | SOKOLOW MEDICAL OF NY PLLC
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 445 PARK AVE FL 9
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City | NEW YORK
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State | NY
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Zip | 10022-8606
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Country | US
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Telephone | 332-207-2288
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Fax | 888-972-3581
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Provider Business Mailing Address
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Address Line | PO BOX 958
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-0811
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Country | US
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Telephone | 332-207-2288
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Fax | 888-972-3581
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Authorized Official
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Title or Position | OWNER
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Name | JAY SOKOLOW
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Credential | MD
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Telephone | 332-207-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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