Individual
JERRY A. SOKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 DEER PARK AVE, DEER PARK, NY 11729-5210
(631) 242-6166
(631) 242-8768
Mailing address
1630 DEER PARK AVE, DEER PARK, NY 11729-5210
(631) 242-6166
(631) 242-8768
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
140169
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00821036
—
NY
Enumeration date
07/26/2006
Last updated
05/15/2008
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