Sobrin, Jack J

Sobrin, Jack J is an sole proprietor health care provider with primary practice located at 1539 Main St Unit D , Pleasant Valley NY 12569-7834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sobrin, Jack J can be contacted via phone (845) 723-4499.

Contact Information

Primary practice address
1539 Main St Unit D Pleasant Valley NY 12569-7834
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 205611 New York

Profile Details

NPI number 1588662241
LBN Legal business name Sobrin, Jack J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Oct 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588662241 NPPES
New York MEDICAID 01832177

Popular Providers