Provider Demographics
NPI:1972717338
Name:SONIX GI & HEPATOLOGY SERVICES, PC
Entity type:Organization
Organization Name:SONIX GI & HEPATOLOGY SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUNWANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-962-5822
Mailing Address - Street 1:21 TAIT RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-3825
Mailing Address - Country:US
Mailing Address - Phone:212-962-5822
Mailing Address - Fax:212-962-5822
Practice Address - Street 1:185 PARK ROW
Practice Address - Street 2:SUITE #8
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-5000
Practice Address - Country:US
Practice Address - Phone:212-962-5822
Practice Address - Fax:212-962-5822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208229207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEM131Medicare ID - Type Unspecified