Provider Demographics
NPI:1417942210
Name:SOSKEL, NEIL B (DO)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:B
Last Name:SOSKEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 MERRICK RD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2700
Mailing Address - Country:US
Mailing Address - Phone:516-887-0077
Mailing Address - Fax:516-887-5365
Practice Address - Street 1:185 MERRICK RD
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2700
Practice Address - Country:US
Practice Address - Phone:516-887-0077
Practice Address - Fax:516-887-5365
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-18
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172261207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
52F911Medicare ID - Type Unspecified
NYE51314Medicare UPIN