Organization
SONO LYFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE BOSA RDMS, RVT (OWNER)
(718) 687-9985
Entity
Organization
Contact information
Practice address
17 FAIRBANKS AVE, STATEN ISLAND, NY 10306-2721
(718) 687-9985
Mailing address
17 FAIRBANKS AVE, STATEN ISLAND, NY 10306-2721
(718) 687-9985
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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