Provider Demographics
NPI:1962481911
Name:NOOR, SONYA S (MD)
Entity Type:Individual
Prefix:DR
First Name:SONYA
Middle Name:S
Last Name:NOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:908 NIAGARA FALLS BLVD
Mailing Address - Street 2:STE 208
Mailing Address - City:N TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-2019
Mailing Address - Country:US
Mailing Address - Phone:716-692-2160
Mailing Address - Fax:716-692-4342
Practice Address - Street 1:100 HIGH ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1126
Practice Address - Country:US
Practice Address - Phone:716-859-5600
Practice Address - Fax:716-692-4342
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2313352086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY050105000086OtherFIDELIS
NYP00142400OtherRR MEDICARE
NY3112601OtherIHA
NY00025757202OtherUNIVERA
NY000527748001OtherHEALTH NOW
NY2247354Medicaid
NY050105000086OtherFIDELIS
NYRA4032Medicare ID - Type Unspecified