Sodeman, Thomas M

Sodeman, Thomas M is an individual health care provider with primary practice located at 10 Nevada Dr , Lake Success NY 11042-1114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Sodeman, Thomas M can be contacted via phone (516) 719-1060.

Contact Information

Primary practice address
10 Nevada Dr Lake Success NY 11042-1114
Fax: (516) 719-1062
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 216342 New York

Profile Details

NPI number 1922078559
LBN Legal business name Sodeman, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922078559 NPPES
New York MEDICAID 02648020

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