Provider Demographics
NPI:1881034742
Name:PARANDE, SOPHA JANEL
Entity Type:Individual
Prefix:
First Name:SOPHA
Middle Name:JANEL
Last Name:PARANDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANEL
Other - Middle Name:SOPHIA
Other - Last Name:PARANDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:241 S 9TH AVE APT 10H
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-3790
Mailing Address - Country:US
Mailing Address - Phone:917-440-6943
Mailing Address - Fax:
Practice Address - Street 1:241 S 9TH AVE APT 10H
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-3790
Practice Address - Country:US
Practice Address - Phone:917-440-6943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator