Sotolongo, Jose R

Sotolongo, Jose R is an individual health care provider with primary practice located at 111 Marys Ave , Kingston NY 12401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sotolongo, Jose R can be contacted via phone (845) 339-4900.

Contact Information

Primary practice address
111 Marys Ave Kingston NY 12401
Fax: (845) 452-2406
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 140172 New York

Profile Details

NPI number 1457445330
LBN Legal business name Sotolongo, Jose R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 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 1457445330 NPPES
New York MEDICAID 00991942

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