Organization
SONALI LAL PHYSICIAN PC
Active
Other names
Integrative Spine and Sports
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. POOJA KHANNA DO (DIRECTOR OF OPERATIONS)
(603) 943-3758
Entity
Organization
Contact information
Practice address
240 W 73RD ST, NEW YORK, NY 10023-2700
(212) 362-4742
(212) 412-9043
Mailing address
240 W 73RD ST, NEW YORK, NY 10023-2700
(212) 362-4742
(212) 787-5275
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
240678
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538189642
NPI
NY
01
—
1942572912
BILLING NPI
NY
01
—
240678-3W
NYS WORKERS' COMPENSATION BOARD
NY
01
—
7360090001
MEDICARE
NY
Enumeration date
05/21/2015
Last updated
08/22/2024
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