Individual
SOPHIA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 POPLAR RD, AMITYVILLE, NY 11701-1016
(631) 464-2889
Mailing address
11 POPLAR RD, AMITYVILLE, NY 11701-1016
(631) 842-2286
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG0514061
NY
Other
Enumeration date
08/02/2014
Last updated
10/03/2023
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