Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 003989-1 | NY |
N | 222Z00000X | Podiatrist | 003989-1 | NY |
N | 213ES0131X | Foot Surgery | 003989-1 | NY |
NPI | 1154533719 |
---|---|
Provider Name | Dr. Bernard D Sokolowski |
First Address | Bronx, NY 10451-2306 |
Second Address | Bronx, NY 10451-2306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
969966 | (05) | NY |
T51364 | (02) | NY |