Sharad Soni Physician P.c. | |
9540 102nd St Fl 1 Ozone Park NY 11416-1712 | |
(718) 641-5555 | |
Not Available |
Full Name | Sharad Soni Physician P.c. |
---|---|
Speciality | Internal Medicine |
Location | 9540 102nd St Fl 1, Ozone Park, New York |
Authorized Official Name and Position | Sharad N Soni (OWNER) |
Authorized Official Contact | 7186415555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sharad Soni Physician P.c. 29 Lake Dr Manhasset Hills NY 11040-1122 Ph: () - | Sharad Soni Physician P.c. 9540 102nd St Fl 1 Ozone Park NY 11416-1712 Ph: (718) 641-5555 |
NPI Number | 1457544785 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 01/30/2024 |
Medicare PECOS PAC ID | 7012005127 |
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Medicare Enrollment ID | O20071126000497 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457544785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 192896 (New York) | Primary |
Provider Name | Sharad N Soni |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295701357 PECOS PAC ID: 3072601194 Enrollment ID: I20071126000542 |
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