Provider Demographics
NPI:1235137837
Name:SOKOLOFF, AVRAHAM (RPA)
Entity type:Individual
Prefix:MR
First Name:AVRAHAM
Middle Name:
Last Name:SOKOLOFF
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 ROUTE 208
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-1619
Mailing Address - Country:US
Mailing Address - Phone:845-783-2920
Mailing Address - Fax:
Practice Address - Street 1:503 ROUTE 208
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-1619
Practice Address - Country:US
Practice Address - Phone:845-783-2920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008405-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5328L1Medicare PIN
NYP56604Medicare UPIN