1104031392 NPI number — YEFIN I SOSONKIN PHYSICIAN PC

Table of content: (NPI 1104031392)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104031392 NPI number — YEFIN I SOSONKIN PHYSICIAN PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YEFIN I SOSONKIN PHYSICIAN PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NEW AGE MEDICINE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104031392
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 297154
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11229-7154
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-787-0333
Provider Business Mailing Address Fax Number:
718-787-1468

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2221 OCEAN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11229-2303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-787-0333
Provider Business Practice Location Address Fax Number:
718-787-1468
Provider Enumeration Date:
05/11/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SOSONKIN
Authorized Official First Name:
YEFIM
Authorized Official Middle Name:
ISAAK
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
718-787-0333

Provider Taxonomy Codes

  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 208D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)