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SONOMA MEDICAL P.C.
NPI 1770198871
Psychiatry & Neurology - Neurology in Brentwood, NY

Active since September 15, 2020
21 WASHINGTON AVE, BRENTWOOD, NY 11717(347) 624-3341(347) 789-7415 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sonoma Medical P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONOMA MEDICAL P.C. (NPI 1770198871) is a healthcare organization registered as a neurology in Brentwood, New York and active in the NPI registry since September 2020. The organization lists Arkady Yusupov, President, as its authorized official.

NPPES Registry Identity

NPI1770198871
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSONOMA MEDICAL P.C.
Location Address21 WASHINGTON AVEBrentwood, NY 11717-3215
Mailing Address1361 Broadway Apt B32Hewlett, NY 11557-1342 · (347) 624-3341 · Fax (347) 789-7415
Phone(347) 624-3341
Fax(347) 789-7415
Organization SubpartNo
Authorized OfficialArkady YusupovPresident · (347) 624-3341
Enumeration DateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1770198871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
21 WASHINGTON AVE, Brentwood, NY 11717
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTOFFERSON R BAJO PT
Physical Therapist
21 WASHINGTON AVE
BRENTWOOD, NY 11717
Suffolk County (631) 813-2080
SHARON R. CATAGUE PT
Physical Therapist
21 WASHINGTON AVE
BRENTWOOD, NY 11717
Suffolk County (631) 813-2080
MOBILITY HAUS PT P.C.
Clinic/Center (Physical Therapy)
21 WASHINGTON AVE
BRENTWOOD, NY 11717
Suffolk County (201) 844-5458
SANDRA L GARCIA PTA
Physical Therapy Assistant
21 WASHINGTON AVE
BRENTWOOD, NY 11717
Suffolk County (631) 813-2080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sonoma Medical P.C.'s NPI number?

The NPI number for Sonoma Medical P.C. is 1770198871. It was assigned to this organization in the NPPES registry on September 15, 2020.

Where is Sonoma Medical P.C. located?

Sonoma Medical P.C. is located at 21 Washington Ave, Brentwood, NY 11717. The listed phone number is (347) 624-3341.

What is Sonoma Medical P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Sonoma Medical P.C. was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.