Provider Demographics
NPI:1124011895
Name:SONI, ASHOK (BDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
Middle Name:
Last Name:SONI
Suffix:
Gender:M
Credentials:BDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 W STEVENS AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2206
Mailing Address - Country:US
Mailing Address - Phone:914-769-2425
Mailing Address - Fax:
Practice Address - Street 1:25 W STEVENS AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2206
Practice Address - Country:US
Practice Address - Phone:914-769-2425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2007-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY324791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice