Provider Demographics
NPI:1174786552
Name:SORANNO, DOROTHY ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:ANNE
Last Name:SORANNO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:SORANNNO
Other - Last Name:COCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:48 BREWSTER RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3002
Mailing Address - Country:US
Mailing Address - Phone:914-723-7660
Mailing Address - Fax:914-725-5585
Practice Address - Street 1:48 BREWSTER RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3002
Practice Address - Country:US
Practice Address - Phone:914-723-7660
Practice Address - Fax:914-725-5585
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189454208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics