Soriano, Jerry A

Soriano, Jerry A is an sole proprietor health care provider with primary practice located at 2000 N Village Ave Ste 205, Rockville Centre NY 11570-1001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Soriano, Jerry A can be contacted via phone (516) 678-9895.

Contact Information

Primary practice address
2000 N Village Ave Ste 205 Rockville Centre NY 11570-1001
Fax: (516) 678-8407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 139309 New York

Profile Details

NPI number 1245276039
LBN Legal business name Soriano, Jerry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1245276039 NPPES
New York MEDICAID 00897934

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