Individual
FNU SONAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(631) 933-6934
Mailing address
80 VAUGHAN DR, NEWARK, NJ 07103-3468
(631) 933-6934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
000132-01
NY
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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