Individual
SOPHIA JUNE VETRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
8008 3RD AVE, BROOKLYN, NY 11209-3862
(718) 833-3636
Mailing address
8008 3RD AVE, BROOKLYN, NY 11209-3862
(718) 833-3636
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383556
NY
363LP2300X
Primary Care Nurse Practitioner
383556
NY
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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