Individual
SOPHIE ROSE MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GUSTAVE L LEVY PL # 1104, NEW YORK, NY 10029-6504
(212) 659-8060
(212) 241-2064
Mailing address
1 GUSTAVE L LEVY PL # 1104, NEW YORK, NY 10029-6504
(212) 659-8060
(212) 241-2064
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
383637
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383637
NY
Other
Enumeration date
03/16/2026
Last updated
04/02/2026
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