Individual
JOHN T SOTTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
89 CROMWELL AVE, STATEN ISLAND, NY 10304-3944
(718) 980-0126
Mailing address
89 CROMWELL AVE, STATEN ISLAND, NY 10304-3944
(718) 980-0126
(718) 980-9252
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017859375
—
NY
01
—
P55503
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/13/2006
Last updated
08/17/2012
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