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Individual

SONYA SHERON VENTOUR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2280 GRAND AVE, STE 303, BALDWIN, NY 11510
(516) 771-4971
(516) 771-2758
Mailing address
958 IRIS LANE, BALDWIN, NY 11510
(516) 771-4971
(516) 771-2758

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
184350
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01888182
NY
Enumeration date
01/05/2006
Last updated
07/08/2007
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