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NPI Code Detail

MEDICARE: DR. JOSHUA ROBERT SONETT

MEDICARE:  DR. JOSHUA ROBERT SONETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician221589NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295732824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA ROBERT SONETT
Provider Business Mailing Address
First Line : 5A MEDICAL PARK DR
Second Line :
City : POMONA
State : NY
Zip : 10970-3516
Country : US
Telephone Number : 845-362-0075
Fax Number : 845-362-1716
Provider Business Practice Location Address
First Line : 161 FORT WASHINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10032-3729
Country : US
Telephone Number : 212-305-3408
Fax Number : 845-362-7475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 02/09/2012

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Directions to “ DR. JOSHUA ROBERT SONETT ” Practice Location

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