Basic Information
Provider Information
NPI: 1083879548
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWARD
FirstName: SONJA
MiddleName: SANAE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 506 LENOX AVENUE
Address2: MLK BUILDING RM 4143
City: NEW YORK
State: NY
PostalCode: 10037
CountryCode: US
TelephoneNumber: 2129394335
FaxNumber:  
Practice Location
Address1: 506 LENOX AVENUE
Address2: MLK BUILDING RM 4143
City: NEW YORK
State: NY
PostalCode: 10037
CountryCode: US
TelephoneNumber: 2129394335
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/24/2008
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD 28435ALN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X291707NYY193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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