Provider Demographics
NPI:1124562707
Name:SOZIO, GRACE (RN)
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:SOZIO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:AKDIKMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:220 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3122
Mailing Address - Country:US
Mailing Address - Phone:914-949-6200
Mailing Address - Fax:914-949-9792
Practice Address - Street 1:220 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3122
Practice Address - Country:US
Practice Address - Phone:914-949-6200
Practice Address - Fax:914-949-9792
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY675622-1163WS0121X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery