Provider Demographics
NPI:1750047379
Name:STENGEL, SONJA (LCAT)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:STENGEL
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1216
Mailing Address - Country:US
Mailing Address - Phone:516-909-8431
Mailing Address - Fax:
Practice Address - Street 1:19 W 68TH ST APT 4R
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5309
Practice Address - Country:US
Practice Address - Phone:516-909-8431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001294221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist