Sophia Palmer
Nurse Practitioner, Gerontology in Amityville, NY. Individual provider (NPI-1).
NPI number1003225152
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1003225152
- Entity type
- Individual (NPI-1)
- Name
- Sophia Palmer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 2, 2014
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | AG0514061 | NY | Yes |
Practice location
11 Poplar RdAmityville, NY 11701-1016
Phone 631-464-2889
Mailing address
11 Poplar RdAmityville, NY 11701-1016
Phone 631-842-2286
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