Provider Demographics
NPI:1629212873
Name:SOSINA, KLARA (MD)
Entity Type:Individual
Prefix:DR
First Name:KLARA
Middle Name:
Last Name:SOSINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6384 SAUNDERS ST
Mailing Address - Street 2:APT. # 2B
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3144
Mailing Address - Country:US
Mailing Address - Phone:718-997-7064
Mailing Address - Fax:
Practice Address - Street 1:6384 SAUNDERS ST
Practice Address - Street 2:APT. # 2B
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3144
Practice Address - Country:US
Practice Address - Phone:718-997-7064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2011953208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation