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
Phone: (516) 719-1060
Fax: (516) 719-1062
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922078559 | NPPES |
| New York | MEDICAID | 02648020 |
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