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Individual

KENNETH SOBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(607) 767-0340
Mailing address
3344 CHAMBERS RD, HORSEHEADS, NY 14845-1403
(607) 734-2264
(607) 767-0340

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
202172
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01827825
NY
01
161355553
BUSINESS TAX ID
Enumeration date
06/27/2006
Last updated
03/10/2021
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