Provider Demographics
NPI:1356398713
Name:SOKOL, SERGIO (MD,FAAC)
Entity type:Individual
Prefix:DR
First Name:SERGIO
Middle Name:
Last Name:SOKOL
Suffix:
Gender:M
Credentials:MD,FAAC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:650 CENTRAL AVE
Mailing Address - Street 2:STE K
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2301
Mailing Address - Country:US
Mailing Address - Phone:917-741-8599
Mailing Address - Fax:516-569-0188
Practice Address - Street 1:35 THIXTON DR
Practice Address - Street 2:STE K
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2631
Practice Address - Country:US
Practice Address - Phone:917-741-8599
Practice Address - Fax:516-569-0188
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY205875207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4889089OtherCIGNA
NY677P71OtherEMPIRE BCBS
NY010065003OtherAMERICHOICE
NY7819289OtherAETNA PPO
NY1169513OtherAETNA HMO
NYP3654963OtherOXFORD
NY2589396OtherGHI PPO
NY677P71OtherEMPIRE BCBS
NYP3654963OtherOXFORD
NY032AL1Medicare ID - Type Unspecified