Individual
NICOLE SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 WINTHROP PL, STATEN ISLAND, NY 10314-4526
(917) 378-2277
Mailing address
84 WINTHROP PL, STATEN ISLAND, NY 10314-4526
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009569-1
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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