Organization
SOTTILE & MEGNA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT M SOTTILE MD (PRESIDENT)
(718) 351-6389
Entity
Organization
Contact information
Practice address
360 EDISON ST, STATEN ISLAND, NY 10306
(718) 351-6377
(718) 980-7341
Mailing address
360 EDISON ST, STATEN ISLAND, NY 10306
(718) 351-6377
(718) 980-7341
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C13128
RR MEDICARE
NY
Enumeration date
01/19/2006
Last updated
08/16/2010
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