Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 0509041 | NY |
NPI | 1073727830 |
---|---|
Provider Name | Dr. Dawn A Sosnick |
First Address | Greenlawn, NY 11740-1312 |
Second Address | Greenlawn, NY 11740-1312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |