Individual
DR. SERGIO SALVATORE SORRENTINO
Active
Individual
DR. SERGIO SALVATORE SORRENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
167442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026402001
UNIVERA
—
01
—
000922256001
HEALTHNOW
—
05
—
00972752
—
NY
01
—
167442
NYS LICENSE #
NY
01
—
167442
STATE INSURANCE FUND
—
01
—
MDH641
PREFERRED CARE
NY
Enumeration date
05/19/2006
Last updated
07/09/2007
Update your record
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