Individual
DR. JERRY A SORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 N VILLAGE AVE, STE 205, ROCKVILLE CENTRE, NY 11570-1001
(516) 678-9895
(516) 678-8407
Mailing address
2000 N VILLAGE AVE, STE 205, ROCKVILLE CENTRE, NY 11570-1001
(516) 678-9895
(516) 678-8407
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
139309
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00897934
—
NY
Enumeration date
06/21/2006
Last updated
07/08/2007
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