Provider Demographics
NPI:1609976216
Name:SOMAN, LLOYD GORDON (DDS)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:GORDON
Last Name:SOMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 W 58TH ST
Mailing Address - Street 2:SUITE #8
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1108
Mailing Address - Country:US
Mailing Address - Phone:212-757-1515
Mailing Address - Fax:212-757-3286
Practice Address - Street 1:343 W 58TH ST
Practice Address - Street 2:SUITE #8
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1108
Practice Address - Country:US
Practice Address - Phone:212-757-1515
Practice Address - Fax:212-757-3286
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0374311223P0300X
CT0064501223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics