DR. SHARIAR SOTUDEH (NPI# 1851573901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851573901 |
| Entity Type | Individual |
| Full Name | DR. SHARIAR SOTUDEH |
| Credential | M.D. |
| Practice Address |
153 Stevens Ave Suite 5 Mount Vernon NY 10550-2543 |
| Mailing Address |
Po Box 536 Mount Vernon NY 10552-0536 |
| Practice Telephone | 9146671620 |
| Practice Fax Number | 9146672421 |
| Mailing Telephone | 9146671620 |
| Mailing Fax Number | 9146672421 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 124255 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00396194 | 05 |
| Street Address |
153 STEVENS AVE SUITE 5 |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068071 | Nadereh Rafat | Specialist | 153 Stevens Ave, Suite 5, Mount Vernon, NY 10550-2543 | 2006-03-24 |
| 1710540554 | Nicodee Simone Gray-brooks | Nurse Practitioner | 153 Stevens Ave, Mount Vernon, NY 10550-2543 | 2019-04-17 |
| 1760880017 | Carmen L Mendez | Nurse Practitioner | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2014-12-18 |
| 1407250624 | Mount Vernon Medical Practice | Clinic/Center | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2014-10-17 |
| 1841565389 | Nadereh Rafat, M.d.p.c. | Clinic/Center | 153 Stevens Ave, Suite # 5, Mount Vernon, NY 10550-2597 | 2012-03-16 |
| 1326316258 | Rosemarie Russell | Nurse Practitioner | 153 Stevens Ave, Mount Vernon, NY 10550-2543 | 2011-12-06 |
| 1740596741 | Mount Vernon Medical Practice | General Practice | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2010-08-27 |
| 1740596451 | Antoinette Yvette Frussinetty | Nurse Practitioner | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2010-08-19 |
| 1417180845 | A Step Ahead Foot Care, PC | Orthopaedic Surgery | 153 Stevens Ave, Suite # 5, Mount Vernon, NY 10550-2543 | 2009-09-02 |
| 1043447808 | Christopher Adubor Physician PC | Internal Medicine | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356459 | Kendra Celeste Williams | Specialist | 300 Hayward Ave Apt 2h, Mount Vernon, NY 10552-1729 | 2020-04-29 |
| 1912551938 | Tania Monique Marshall | Specialist | 340 Garden Ave, Mount Vernon, NY 10553-2014 | 2019-07-29 |
| 1801357090 | Camille Blackwood | Specialist | 55 Bonita Vista Rd, Mount Vernon, NY 10552-1301 | 2019-03-29 |
| 1043717325 | Rhea Elizabeth Zificsak | Specialist | 30 Fleetwood Ave Apt 1d, Mount Vernon, NY 10552-2854 | 2018-04-12 |
| 1457866477 | Angelina Jaqueline Lewis | Specialist | 58 Parkway W, Mount Vernon, NY 10552-1141 | 2017-12-13 |
| 1083126551 | Christina Storm | Specialist | 514 Gramatan Ave Apt 7a, Mount Vernon, NY 10552-3052 | 2017-10-24 |
| 1386177350 | La Sheune Cantey | Specialist | 465 E Lincoln Ave Apt 110, Mount Vernon, NY 10552-3539 | 2017-04-06 |
| 1477001550 | Daysi N. Mina | Specialist | 55 Ehrbar Ave, Apt 3d, Mount Vernon, NY 10552-2444 | 2016-09-16 |
| 1982057410 | Gina Marie Giordano | Specialist | 40 E Birch St, Apt. # 3 D, Mount Vernon, NY 10552-1838 | 2016-07-20 |
| 1013366087 | Breonne Lewis | Specialist | 99 Pennsylvania Ave, Mount Vernon, NY 10552-2419 | 2016-06-09 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
Please comment or provide details below to improve the information on DR. SHARIAR SOTUDEH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.