Provider Demographics
NPI:1205391323
Name:SORGI, PIRJO (NP)
Entity Type:Individual
Prefix:MRS
First Name:PIRJO
Middle Name:
Last Name:SORGI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 REALNAUTIC CT
Mailing Address - Street 2:
Mailing Address - City:HAMPTON BAYS
Mailing Address - State:NY
Mailing Address - Zip Code:11946-1112
Mailing Address - Country:US
Mailing Address - Phone:631-594-2662
Mailing Address - Fax:
Practice Address - Street 1:27 REALNAUTIC CT
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-1112
Practice Address - Country:US
Practice Address - Phone:631-594-2662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-02
Last Update Date:2019-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303537363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health