MEDICARE: DR. SONIA A TALWAR

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	208487	NY

General Provider Information

NPI Number	:	1689655946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SONIA A TALWAR

Provider Business Mailing Address
First Line	:	1097 OLD COUNTRY RD
Second Line	:	SUITE 102
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-6505
Country	:	US
Telephone Number	:	516-931-1007
Fax Number	:	516-931-1008

Provider Business Practice Location Address
First Line	:	1097 OLD COUNTRY RD
Second Line	:	SUITE 102
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-6505
Country	:	US
Telephone Number	:	516-931-1007
Fax Number	:	516-931-1008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	03/20/2008

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