Provider Demographics
NPI:1588781447
Name:SONSIRE, JAMES M (MS, AUD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:SONSIRE
Suffix:
Gender:M
Credentials:MS, AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 ST. JOSEPH'S BLVD.
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-3234
Mailing Address - Country:US
Mailing Address - Phone:607-795-8100
Mailing Address - Fax:
Practice Address - Street 1:571 ST. JOSEPH'S BLVD.
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-3234
Practice Address - Country:US
Practice Address - Phone:607-795-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001896237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDD3391Medicare UPIN