Individual
SONIA INNOCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 ELM ST, VALLEY STREAM, NY 11580-4913
(347) 856-4652
Mailing address
147 ELM ST, VALLEY STREAM, NY 11580-4913
(347) 856-4652
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
F406362-01
NY
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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