Provider Demographics
NPI:1003599473
Name:SONI, SUKHVEEN (PA)
Entity Type:Individual
Prefix:
First Name:SUKHVEEN
Middle Name:
Last Name:SONI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CRANDALL DR
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2110
Mailing Address - Country:US
Mailing Address - Phone:516-312-6574
Mailing Address - Fax:
Practice Address - Street 1:55 W OLD COUNTRY RD STE 1W
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4037
Practice Address - Country:US
Practice Address - Phone:516-312-6574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant