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Provider Information for 1205045499



DR. WALTER PETER SOKOL DDS

Gender: MALE

Individual NPI: 1205045499

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1205045499
Enumeration Date 2007-05-22
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4571 SUNRISE HIGHWAY
BOHEMIA, NY 11716-4603
United States

Phone: 631-567-8563 | Fax:
View Map External Link
Primary Practice Address 4571 SUNRISE HIGHWAY
BOHEMIA, NY 11716-4603
United States

Phone: 631-567-8563 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NY 030902