Individual
MRS. PATRICIA MARIE SORRENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.N.,P.N.P
Contact information
Practice address
219 BRYANT ST, 1095 JEFFERSON AVENUE BUFFALO NY 14209, BUFFALO, NY 14222-2006
(716) 480-0499
(716) 878-1152
Mailing address
8 BRIMFIELD CT, BUFFALO, NY 14224-4619
(716) 674-8097
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
F381082-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00361968
—
NY
01
—
040260003328
FIDELIS PROVIDER #
NY
Enumeration date
02/20/2007
Last updated
05/08/2008
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