Individual
MRS. CELIA M. SOFIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
623 NEW LOUDON ROAD, LATHAM, NY 12110-4031
(518) 782-1178
Mailing address
213 SHAKER ROAD, ALBANY, NY 12211-2044
(518) 466-8333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
525736111
NY
Other
Enumeration date
10/30/2012
Last updated
12/29/2017
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