Provider Demographics
NPI:1326544859
Name:SOSNER, EITAN NAFTALI (MD)
Entity type:Individual
Prefix:DR
First Name:EITAN
Middle Name:NAFTALI
Last Name:SOSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:186 RIVERSIDE DR APT 7E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1007
Mailing Address - Country:US
Mailing Address - Phone:646-642-3034
Mailing Address - Fax:
Practice Address - Street 1:186 RIVERSIDE DR APT 7E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1007
Practice Address - Country:US
Practice Address - Phone:646-642-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10144232085R0202X
NY3026722085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology