Doctor Name: | DR. ANTHONY A SOMOGYI |
NPI Number: | 1104809078 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 136350 |
Business Practice Address: | 4223 Francis Lewis Blvd Suite 201 Bayside, NY - 113612575 |
Business Phone Number: | 7182245687 |
Business Fax Number: | 7182245746 |
Mailing Address: | 4223 Francis Lewis Blvd, Suite 201 BAYSIDE |
State: | NY |
Postal Code: | 113612575 |
Phone Number: | 7182245687 |
Fax Number: | 7182245746 |
NPI Enumeration Date: | 11/23/2005 |
NPI Last Update Date: | 04/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 136350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |