Organization
CARLO A SORANNO MD PC
Active
Organization
CARLO A SORANNO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL SORANNO MD (VICE PRESIDENT)
(631) 226-2600
Entity
Organization
Contact information
Practice address
53 HARRINGTON AVENUE, LINDENHURST, NY 11757-3397
(631) 226-2600
(631) 226-3027
Mailing address
53 HARRINGTON AVENUE, LINDENHURST, NY 11757-3397
(631) 226-2600
(631) 226-3027
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0805371
NY
208000000X
Pediatrics Physician
1709091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015092
GHI
—
01
—
00391539
MEDICAID
—
01
—
0070758001
AMRIHEALTH GROUP
—
01
—
010080537NY01
BILLING ID#
—
01
—
01087787
MEDICAID GROUP
—
01
—
0129885000
AMRIHEALTH HMO
—
01
—
0523936003
CIGNA PAL#
—
01
—
0532079
AETNA US HEALTHCARE
—
01
—
080537A85
HEALTHFIRST
—
01
—
10676
ANTHEM
—
01
—
167628
AMRIHEALTH PPO POS
—
01
—
200444
COMED
—
01
—
257051
BLUE CROSS
—
01
—
4061686
AETNA
—
01
—
48468
AETNA US HEALTHCARE GROUP
—
01
—
62291607
ATLANTIS
—
01
—
AG01296
MDNY
—
01
—
CP063
OXFORD
—
01
—
OP208P
HIP
—
01
—
PA2772
HEALTH NET
—
Enumeration date
07/26/2006
Last updated
03/09/2011
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