Provider Demographics
NPI:1881831261
Name:SOFER KOSS, SHIFRA Y (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SHIFRA
Middle Name:Y
Last Name:SOFER KOSS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SHIFRA
Other - Middle Name:Y
Other - Last Name:KOSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1526 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1710
Mailing Address - Country:US
Mailing Address - Phone:718-692-4595
Mailing Address - Fax:
Practice Address - Street 1:1526 E 27TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1710
Practice Address - Country:US
Practice Address - Phone:718-692-4595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008159-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist