Provider Demographics
NPI:1477593804
Name:ZELMAN-SOSONKIN, NATALIYA (MD)
Entity Type:Individual
Prefix:
First Name:NATALIYA
Middle Name:
Last Name:ZELMAN-SOSONKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2348 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2346
Mailing Address - Country:US
Mailing Address - Phone:718-979-8400
Mailing Address - Fax:718-979-3633
Practice Address - Street 1:2348 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2346
Practice Address - Country:US
Practice Address - Phone:718-979-8400
Practice Address - Fax:718-979-3633
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214798207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02084408Medicaid
H16905Medicare UPIN
NY02084408Medicaid