1386667749 NPI number — CARLO A SORANNO MD PC

Table of content: (NPI 1386667749)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386667749 NPI number — CARLO A SORANNO MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARLO A SORANNO MD 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:
Provider Other Organization Name Type Code:
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:
1386667749
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
53 HARRINGTON AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINDENHURST
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11757-3397
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-226-2600
Provider Business Mailing Address Fax Number:
631-226-3027

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
53 HARRINGTON AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINDENHURST
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11757-3397
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-226-2600
Provider Business Practice Location Address Fax Number:
631-226-3027
Provider Enumeration Date:
07/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SORANNO
Authorized Official First Name:
CARL
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
631-226-2600

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  0805371 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208000000X , with the licence number: 1709091 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 4061686 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: CP063 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: PA2772 . This is a "HEALTH NET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10676 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0015092 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0070758001 . This is a "AMRIHEALTH GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0532079 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: OP208P . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 080537A85 . This is a "HEALTHFIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 167628 . This is a "AMRIHEALTH PPO POS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 257051 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: AG01296 . This is a "MDNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010080537NY01 . This is a "BILLING ID#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0523936003 . This is a "CIGNA PAL#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 48468 . This is a "AETNA US HEALTHCARE GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 62291607 . This is a "ATLANTIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01087787 . This is a "MEDICAID GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0129885000 . This is a "AMRIHEALTH HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00391539 . This is a "MEDICAID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200444 . This is a "COMED" identifier . This identifiers is of the category "OTHER".




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