Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 275975 | NY |
Y | 207T00000X | Neurosurgeon | MD454239 | PA |
NPI | 1013227198 |
---|---|
Provider Name | Dr. Grant C Sorkin |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17402-4661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2010 |
Last Update Date | 08/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
094648600 | (05) | MD |
103044324 | (05) | PA |