Individual
ANNA NOVOSELOV SOROKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3917
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015118
NY
Other
Enumeration date
09/15/2011
Last updated
08/08/2014
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