Provider Demographics
NPI:1891334843
Name:SOSSI, MARIA (LCAT, ATR-BC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SOSSI
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:KONDRATIEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCAT, ATR-BC
Mailing Address - Street 1:25 W 26TH ST # 405
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1004
Mailing Address - Country:US
Mailing Address - Phone:929-383-0435
Mailing Address - Fax:
Practice Address - Street 1:25 W 26TH ST # 405
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1004
Practice Address - Country:US
Practice Address - Phone:929-383-0435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-21
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001647221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist