Active NPIIndividual provider

Dr. Brian L Sonnenberg, DDS

Student in an Organized Health Care Education/Training Program in Staten Island, New York

NPI Number1417570680
Practice location
475 Seaview Ave, Staten Island, NY 10305-3436
Fax
—
Last updated
May 22, 2020

Brian L. Sonnenberg is a Student in an Organized Health Care Education/Training Program based in Staten Island, NY. Brian L. Sonnenberg practices in Staten Island, NY and has the professional credentials of DDS. The NPI Number for Brian L. Sonnenberg is 1417570680 and holds a License No. 244202. The current practice location address for Brian L. Sonnenberg is 475 Seaview Ave, Staten Island, NY 10305-3436 and can be reached out via phone at 718-226-9847.

Provider Profile Details

NPI Number
1417570680
Provider Name
Brian L. Sonnenberg
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
475 Seaview Ave, Staten Island, NY 10305-3436
Phone Number
718-226-9847
Sole Proprietor
No
Provider Enumeration Date
May 22, 2020
Last Update Date
May 22, 2020
Certification Date
May 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
475 Seaview Ave
Staten Island, NY 10305-3436
Zip
10305-3436
Phone Number
718-226-9847
Staten Island, NY 10305Get directions →

Provider Business Mailing Address Details

Address
87 Lake Shore Dr
Rockaway, NJ 07866-1405
City
Rockaway
State
NJ
Zip
07866-1405
Phone Number
973-768-6424

License Information

License Number
244202

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Brian L Sonnenberg, DDS?

The NPI number of Dr. Brian L Sonnenberg, DDS is 1417570680. It was assigned on May 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Brian L Sonnenberg, DDS?

Dr. Brian L Sonnenberg, DDS is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed under license number 244202.

Where does Dr. Brian L Sonnenberg, DDS practice?

The practice location is 475 Seaview Ave, Staten Island, NY 10305-3436. The office can be reached at 718-226-9847 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417570680 directly on the NPPES registry website.

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