Individual
JILL SONTARP-PRPICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 COMMACK RD, COMMACK, NY 11725-3438
(631) 495-1270
Mailing address
145 COMMACK RD, COMMACK, NY 11725-3438
(631) 495-1270
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
02/08/2007
Last updated
06/26/2012
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