Doctor Name: | MR. CRAIG SORKIN |
NPI Number: | 1598025397 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APN |
License Number: | 26NJ00395800 |
Business Practice Address: | 200 Main St Ridgefield Park, NJ - 076601649 |
Business Phone Number: | 2018706099 |
Business Fax Number: | 2018706098 |
Mailing Address: | 200 Main St, RIDGEFIELD PARK |
State: | NJ |
Postal Code: | 076601649 |
Phone Number: | 2018706099 |
Fax Number: | 2018706098 |
NPI Enumeration Date: | 05/25/2012 |
NPI Last Update Date: | 09/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00395800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |