Provider Demographics
NPI:1700856622
Name:STURIM, SONDRA B (MD)
Entity Type:Individual
Prefix:DR
First Name:SONDRA
Middle Name:B
Last Name:STURIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:925 HEMPSTEAD TPKE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-3636
Mailing Address - Country:US
Mailing Address - Phone:516-354-7100
Mailing Address - Fax:516-354-7160
Practice Address - Street 1:925 HEMPSTEAD TPKE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-3636
Practice Address - Country:US
Practice Address - Phone:516-354-7100
Practice Address - Fax:516-354-7160
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY197740207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY197001Medicare PIN