# GLEN OAKS MEDICAL ASSOCIATE PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518140003
- **Authorized official:** DR. SHARAD SONI M.D. (PARTNER)
- **Authorized official phone:** (516) 376-7778

## Contact information

- **Practice address:** 25710 UNION TPKE, GLEN OAKS, NY 11004-1252
- **Practice address phone:** (718) 343-7200
- **Practice address fax:** (718) 343-5834
- **Mailing address:** 25710 UNION TPKE, GLEN OAKS, NY 11004-1252
- **Mailing address phone:** (718) 343-7200
- **Mailing address fax:** (718) 343-5834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2007
- **Last updated:** 12/07/2007