Provider Demographics
NPI:1407183866
Name:CARUK, SONIA (COTA)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:
Last Name:CARUK
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10231 DUNTON CT
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3900
Mailing Address - Country:US
Mailing Address - Phone:347-475-0562
Mailing Address - Fax:
Practice Address - Street 1:10231 DUNTON CT
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-3900
Practice Address - Country:US
Practice Address - Phone:347-475-0562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant