Provider Demographics
NPI:1710534771
Name:SORIAL, BISHOY A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BISHOY
Middle Name:A
Last Name:SORIAL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 LOIS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-6328
Mailing Address - Country:US
Mailing Address - Phone:347-258-8845
Mailing Address - Fax:
Practice Address - Street 1:19 LOIS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-6328
Practice Address - Country:US
Practice Address - Phone:347-258-8845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist