Doctor Name: | DR. ELAIN SOBOL |
NPI Number: | 1861735284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D, |
License Number: | 128885 |
Business Practice Address: | 44 Strathmore Rd Great Neck, NY - 110231036 |
Business Phone Number: | 5164872514 |
Business Fax Number: | |
Mailing Address: | 44 Strathmore Rd, GREAT NECK |
State: | NY |
Postal Code: | 110231036 |
Phone Number: | 5164872514 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2013 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 128885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |