Individual
MIRANDA SOKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ELM AND CARLTON STREETS RPCI CLINICAL PRACTICE PLAN, BUFFALO, NY 14263
(716) 845-2300
Mailing address
3063 EGGERT RD, TONAWANDA, NY 14150-7159
(716) 541-4361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
702509
NY
363L00000X
Nurse Practitioner
Primary
702509
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343239
NYS LICENSE
NY
Enumeration date
07/12/2015
Last updated
02/11/2021
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