Most Relevant Information
Provider Data
| NPI Number: | 1003212747 |
| Provider Name: | YUSSIE SOKOLOFF PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 018199 |
Most Important Dates
| Enumeration Date: | 11/07/2014 |
| Last Updated: | 11/07/2014 |
Provider Practice Location
1029 NEILSON ST APT 3
FAR ROCKAWAY
NY
116915005
Practice Location Phone/Fax
| Phone: | 5166684022 |
| Fax: |
Provider Mailing Location
1029 NEILSON ST APT 3
FAR ROCKAWAY
NY
116915005
Provider Mailing Phone/Fax
| Phone: | 5166684022 |
| Fax: |