Individual
PATRICE SONARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
225 VETERANS RD, MOUNT KISCO MEDICAL GROUP, PC, YORKTOWN HEIGHTS, NY 10598-4436
(914) 241-1050
(914) 455-2980
Mailing address
110 S BEDFORD RD, MOUNT. KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 455-2980
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
239909
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02815332
—
NY
01
—
A400085509
MEDICARE PTAN
NY
Enumeration date
09/29/2006
Last updated
06/29/2016
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