Provider Demographics
NPI:1912953399
Name:SERGIO SOKOL M.D.,F.A.C.C.,P.C.
Entity Type:Organization
Organization Name:SERGIO SOKOL M.D.,F.A.C.C.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC
Authorized Official - Phone:917-741-8599
Mailing Address - Street 1:35 THIXTON DR
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2631
Mailing Address - Country:US
Mailing Address - Phone:917-741-8599
Mailing Address - Fax:
Practice Address - Street 1:650 CENTRAL AVE STE M
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2301
Practice Address - Country:US
Practice Address - Phone:516-804-8590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205875174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1169513OtherAETNA HMO
NY2589396OtherGHI PPO
NY677P71OtherEMPIRE BCBS
NY7819289OtherAETNA PPO
NY010065003OtherAMERICHOICE
NYP3654963OtherOXFORD
NY4889089OtherCIGNA
NY4889089OtherCIGNA
NYP3654963OtherOXFORD