Provider Demographics
NPI:1285134932
Name:SOHOTRA, AMANDA MAHER (DDS)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MAHER
Last Name:SOHOTRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:MARIE
Other - Last Name:MAHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:5 MCKINSTRY PL
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2313
Mailing Address - Country:US
Mailing Address - Phone:518-828-0115
Mailing Address - Fax:
Practice Address - Street 1:5 MCKINSTRY PL
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2313
Practice Address - Country:US
Practice Address - Phone:518-828-0115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0601171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice