Somidil Medical PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

211961 Issued in NY

Legal business name

SOMIDIL MEDICAL PC

Practice address

15 Twin Ponds LN
Syosset, NY 11791-1004

Phone

(845) 634-6500

Fax

(845) 634-9424

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie Farrell, RN CCSP

Title

Director Coding/Compliance

Phone

(845) 634-6500

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1215103486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SQUADRON BLVD",
            "address_2": "SUITE 400",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565214",
            "telephone_number": "845-634-6500",
            "fax_number": "845-634-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TWIN PONDS LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117911004",
            "telephone_number": "845-634-6500",
            "fax_number": "845-634-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMIDIL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR CODING/COMPLIANCE",
        "authorized_official_telephone_number": "845-634-6500",
        "authorized_official_credential": "RN CCSP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "211961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01877614",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abolfazl Sodagar, MD
• Dominic Sofia, PT
• Michael S Soliman, MD
• Elizabeth Solimine
• Diane E. Solomon
• Danielle Somkin
• Kriti Sood, DDS
• Chelsea Ann Sorahan, FNP-C
• Dora Chana Sosnowik, PHARMD
• Grazyna D Sosnowski, MD

• Psychiatry Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.