Individual
SONA FENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2525 KINGS HWY, BROOKLYN, NY 11229-1705
(718) 692-5300
(516) 437-4167
Mailing address
1981 MARCUS AVE, SUITE 208, NEW HYDE PARK, NY 11042-1038
(718) 670-1651
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00879847
RAILROAD MEDICARE PTAN
NY
Enumeration date
01/08/2007
Last updated
04/27/2011
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