Organization
LONG ISLAND CARDIOVASCULAR MEDICAL ASSOICATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY A. SOKOL MD (PRESIDENT)
(631) 242-6166
Entity
Organization
Contact information
Practice address
1630 DEER PARK AVE, DEER PARK, NY 11729-5210
(631) 242-6166
Mailing address
1630 DEER PARK AVE, DEER PARK, NY 11729-5210
(631) 242-6166
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01813547
—
NY
Enumeration date
09/21/2006
Last updated
01/16/2008
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