Provider Demographics
NPI:1669508453
Name:SOKAL, EVA J (DDS)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:J
Last Name:SOKAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7002 FRESH POND RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-5902
Mailing Address - Country:US
Mailing Address - Phone:718-417-4544
Mailing Address - Fax:718-417-3266
Practice Address - Street 1:7002 FRESH POND RD
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5902
Practice Address - Country:US
Practice Address - Phone:718-417-4544
Practice Address - Fax:718-417-3266
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0494851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02310745Medicaid