Individual
REBECCA SOFFERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 NORTHERN BLVD, SUITE 408, MANHASSET, NY 11030-3045
(516) 627-2121
(516) 627-4922
Mailing address
1129 NORTHERN BLVD, SUITE 408, MANHASSET, NY 11030-3045
(516) 627-2121
(516) 627-4922
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017229
NY
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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