Individual
MS. SOPIE KANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 BREVOORT DR APT 2C, POMONA, NY 10970-4012
(845) 453-6887
Mailing address
6 BREVOORT DR APT 2C, POMONA, NY 10970-4012
(845) 453-6887
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ15364500
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406616
NY
Other
Enumeration date
08/26/2013
Last updated
04/29/2026
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