Individual
HEATHER SORRENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 HAVEN AVE APT 3D, NEW YORK, NY 10032-2708
(917) 822-0852
Mailing address
105 HAVEN AVE APT 3D, NEW YORK, NY 10032-2708
(917) 822-0852
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
019266
NY
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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