Provider Demographics
NPI:1184732802
Name:SOFIA YASEEN ARAIN MD PC
Entity type:Organization
Organization Name:SOFIA YASEEN ARAIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SOFIA
Authorized Official - Middle Name:YASEEN
Authorized Official - Last Name:ARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-996-2411
Mailing Address - Street 1:85-50 118TH STREET
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415
Mailing Address - Country:US
Mailing Address - Phone:718-441-4363
Mailing Address - Fax:718-441-4695
Practice Address - Street 1:85-50 118TH STREET
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415
Practice Address - Country:US
Practice Address - Phone:718-441-4363
Practice Address - Fax:718-441-4363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211503208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty