Individual
SOPHIA RACQUEL MUNOZ-BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-C
Contact information
Practice address
2581 ATLANTIC AVE FL 2, BROOKLYN, NY 11207-2412
(347) 731-3860
Mailing address
2581 ATLANTIC AVE FL 2, BROOKLYN, NY 11207-2412
(347) 731-3860
(718) 968-0989
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
571990
NY
363L00000X
Nurse Practitioner
341194
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403177
NY
Other
Enumeration date
02/04/2014
Last updated
02/01/2021
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