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Organization
SONALI LAL PHYSICIAN PC
Active
Organization
SONALI LAL PHYSICIAN PC
Active
Other names
Integrative Spine and Sports
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. POOJA KHANNA DO (DIRECTOR OF OPERATIONS)
(603) 943-3758
Entity
Organization
Contact information
Practice address
240 W 73RD ST, NEW YORK, NY 10023-2700
(212) 362-4742
(212) 412-9043
Mailing address
240 W 73RD ST, NEW YORK, NY 10023-2700
(212) 362-4742
(212) 787-5275
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
240678
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538189642
NPI
NY
01
—
1942572912
BILLING NPI
NY
01
—
240678-3W
NYS WORKERS' COMPENSATION BOARD
NY
01
—
7360090001
MEDICARE
NY
Enumeration date
05/21/2015
Last updated
08/22/2024
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