Individual
EVANGELIA SOFRONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
20014 44TH AVE, BAYSIDE, NY 11361-2510
(917) 567-5926
Mailing address
20014 44TH AVE, BAYSIDE, NY 11361-2510
(917) 567-5926
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
P74714
NY
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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