Provider Demographics
NPI:1720371123
Name:PATHANIA, SONIA (NP)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:
Last Name:PATHANIA
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 1:1111 AMSTERDAM AVE
Mailing Address - Street 2:CLARK 7 MEDICINE DEPARTMENT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1716
Mailing Address - Country:US
Mailing Address - Phone:212-523-5918
Mailing Address - Fax:212-523-2842
Practice Address - Street 1:1111 AMSTERDAM AVE
Practice Address - Street 2:CLARK 7 MEDICINE DEPARTMENT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1716
Practice Address - Country:US
Practice Address - Phone:212-523-5918
Practice Address - Fax:212-523-2842
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF305358-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health