Individual
JAIME ENRIQUE SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
706 EXECUTIVE BLVD, VALLEY COTTAGE, NY 10989-2038
(845) 362-3904
Mailing address
2875 ROUTE 35, KATONAH, NY 10536-3181
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
600183
NY
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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