Individual
ISRAEL SOSTRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4725
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3080245-01
FC65, PC65, M/C ADV PPO
OR
01
—
611036100
US DOL (ACS FISCAL AGENT
OR
01
—
858185000
BCBSO
OR
01
—
9317339
PHCS
OR
Enumeration date
07/02/2006
Last updated
08/02/2023
Update your record
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