Individual
ELIZABETH SOPIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 E 65TH ST, NEW YORK, NY 10065-7072
(201) 552-4645
Mailing address
52 7TH AVE APT 4F, BROOKLYN, NY 11217-3615
(650) 468-9844
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
030577
NY
Other
Enumeration date
11/02/2023
Last updated
03/26/2024
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