Provider Demographics
NPI:1023219805
Name:SOSKUTI, ILDIKO EVA (MD)
Entity Type:Individual
Prefix:DR
First Name:ILDIKO
Middle Name:EVA
Last Name:SOSKUTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 PARK AVE
Mailing Address - Street 2:15TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4407
Mailing Address - Country:US
Mailing Address - Phone:646-396-1995
Mailing Address - Fax:212-918-9282
Practice Address - Street 1:410 PARK AVE
Practice Address - Street 2:15TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4407
Practice Address - Country:US
Practice Address - Phone:646-396-1959
Practice Address - Fax:212-918-9282
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2011-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155050208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04527GMedicare PIN
NYA59819Medicare UPIN