Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 232360 | NY |
N | 2086S0105X | Surgery of the Hand | 232360 | NY |
NPI | 1407856990 |
---|---|
Provider Name | Samir Sodha |
First Address | Middletown, NY 10941-4028 |
Second Address | Montvale, NJ 07645-1813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 02/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02571819 | (05) | NY |
H87814 | (02) |