Individual
CARMEN ALICIA SORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
14330 110TH AVE, JAMAICA, NY 11435-5606
(917) 804-3264
(929) 234-2841
Mailing address
14330 110TH AVE, JAMAICA, NY 11435-5606
(917) 804-3264
(929) 234-2841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
737669
NY
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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