Provider Demographics
NPI:1831660489
Name:SOKOLOW MEDICAL OF NH PLLC
Entity Type:Organization
Organization Name:SOKOLOW MEDICAL OF NH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKOLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-379-6750
Mailing Address - Street 1:PO BOX 958
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-0811
Mailing Address - Country:US
Mailing Address - Phone:603-379-6750
Mailing Address - Fax:844-840-7352
Practice Address - Street 1:15 CONSTITUTION DR STE 1A
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6002
Practice Address - Country:US
Practice Address - Phone:603-379-6750
Practice Address - Fax:844-840-7352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty