Individual
DR. AVIVA BRACHA SOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
622 W 168TH ST, PH 5E - 522, NEW YORK, NY 10032-3720
(212) 305-6559
(212) 305-4778
Mailing address
622 W 168TH ST PH 17W308, NEW YORK, NY 10032-3720
(212) 305-6559
(212) 305-4778
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
205132
NY
208000000X
Pediatrics Physician
MA67066
NJ
2080P0205X
Pediatric Endocrinology Physician
Primary
205132
NY
Other
Enumeration date
05/23/2008
Last updated
12/19/2021
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