Individual
SOFIA STARAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9825 HORACE HARDING EXPY APT 7B, CORONA, NY 11368-4608
(917) 981-1177
Mailing address
9825 HORACE HARDING EXPY APT 7B, CORONA, NY 11368-4608
(917) 981-1177
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
365684091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UJ42288A
—
NY
Enumeration date
12/21/2009
Last updated
12/21/2009
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