Dr. Lloyd Gordon Soman, D.D.S.
Dentist, Periodontics in New York, NY. Individual provider (NPI-1).
NPI number1609976216
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609976216
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lloyd Gordon Soman
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 037431 | NY | Yes |
| 1223P0300X | Dentist, Periodontics | 006450 | CT |
Practice location
343 W 58th StSuite #8
New York, NY 10019-1108
Phone 212-757-1515 · Fax 212-757-3286
Mailing address
343 W 58th StSuite #8
New York, NY 10019-1108
Phone 212-757-1515 · Fax 212-757-3286
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