Individual
MRS. SONIA VALDIVIEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-1388
(718) 780-1409
Mailing address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-1388
(718) 780-1409
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005539
NY
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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