Individual
SOPHIA AMCHENTSEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
58 ELISE DR, MIDDLETOWN, NY 10941-3364
(845) 281-6732
Mailing address
58 ELISE DR, MIDDLETOWN, NY 10941-3364
(845) 281-6732
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
542198
NY
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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