Provider Demographics
NPI:1164785085
Name:SOONA D INC
Entity Type:Organization
Organization Name:SOONA D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEFREITAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSSPED
Authorized Official - Phone:347-248-4679
Mailing Address - Street 1:11855 222ND ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-2016
Mailing Address - Country:US
Mailing Address - Phone:347-248-4679
Mailing Address - Fax:
Practice Address - Street 1:11855 222ND ST
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-2016
Practice Address - Country:US
Practice Address - Phone:347-248-4679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty