Individual
DR. JACK J SOBRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1539 MAIN ST UNIT D, PLEASANT VALLEY, NY 12569-7834
(845) 723-4499
Mailing address
PO BOX 307, HOPEWELL JUNCTION, NY 12533-0307
(845) 723-4499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
205611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01832177
—
NY
Enumeration date
07/07/2005
Last updated
10/03/2023
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