Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 177027 | NY |
N | 2081P2900X | Pain Medicine | 177027 | NY |
NPI | 1356354088 |
---|---|
Provider Name | Julian Sosner |
First Address | New York, NY 10011 |
Second Address | New York, NY 10011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 19/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01149971 | (05) | NY |
E58217 | (02) |