Provider Demographics
NPI:1104132430
Name:SORIAL, JAKLIN AIAD (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:JAKLIN
Middle Name:AIAD
Last Name:SORIAL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 CORTELYOU RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-5607
Mailing Address - Country:US
Mailing Address - Phone:718-287-9078
Mailing Address - Fax:718-287-9176
Practice Address - Street 1:125 E 86TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1008
Practice Address - Country:US
Practice Address - Phone:212-996-5261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist