Individual
SOPHIA VERELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 464-7500
Mailing address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 464-7500
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
620338
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406342
NY
Other
Enumeration date
11/05/2024
Last updated
03/26/2025
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