Individual
SOPHY JOSEPH KOYITHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
229 S GRANT AVE, CONGERS, NY 10920-2701
(845) 267-8001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F301777-1
NY
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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