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Individual

DR. THOMAS M SODEMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10 NEVADA DR, LAKE SUCCESS, NY 11042-1114
(516) 719-1060
(516) 719-1062
Mailing address
175 COMMUNITY DR, MANHASSET, NY 11030
(516) 465-1900
(516) 465-1830

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
216342
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02648020
NY
Enumeration date
01/25/2006
Last updated
07/08/2007
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