Provider Demographics
NPI:1245530567
Name:SOKOL, LISA (DC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:SOKOL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 GLENN ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14206-3110
Mailing Address - Country:US
Mailing Address - Phone:716-352-1745
Mailing Address - Fax:
Practice Address - Street 1:399 KNOLLWOOD RD STE 108
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-1916
Practice Address - Country:US
Practice Address - Phone:716-352-1745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor