Individual
SONJA J NEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 N AURORA ST, ITHACA, NY 14850-3725
(607) 319-4423
Mailing address
138 CECIL MALONE DR, ITHACA, NY 14850-5124
(607) 273-0466
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
516471-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
516471-1
REGISTERED NURSE
NY
Enumeration date
08/16/2018
Last updated
08/16/2018
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