Individual
SOPHIA FERMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 W 96TH ST STE 1A, NEW YORK, NY 10025-6418
(212) 249-2506
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/24/2019
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