Individual
JONATHAN MICHAEL SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 253-1838
Mailing address
7563 FITZPATRICK DR, LIVERPOOL, NY 13088-3633
(315) 317-9366
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
030514
NY
208600000X
Surgery Physician
Primary
030514
NY
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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