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Individual

DR. JOSE R SOTOLONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 MARYS AVE, KINGSTON, NY 12401
(845) 339-4900
(845) 452-2406
Mailing address
1 COLUMBIA STREET, STE 390, POUGHKEEPSIE, NY 12601
(845) 452-8730
(845) 452-2406

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
140172
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00991942
NY
Enumeration date
10/03/2006
Last updated
07/08/2007
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