Provider Demographics
NPI:1689818239
Name:SORKIN, SOFIYA (MSED)
Entity Type:Individual
Prefix:MRS
First Name:SOFIYA
Middle Name:
Last Name:SORKIN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2765 W 5TH ST APT 7E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4716
Mailing Address - Country:US
Mailing Address - Phone:718-872-5904
Mailing Address - Fax:718-872-5904
Practice Address - Street 1:2765 W 5TH ST APT 7E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4716
Practice Address - Country:US
Practice Address - Phone:718-872-5904
Practice Address - Fax:718-872-5904
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2203084174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist