Individual
SOPHIA BOUZRARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKDALE PLAZA, EMERGENCY DEPARTMENT, BROOKLYN, NY 11212-3139
(718) 240-5363
Mailing address
1 BROOKDALE PLAZA, EMERGENCY DEPARTMENT, BROOKLYN, NY 11212-3139
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101288947
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2023
Last updated
05/20/2026
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