Provider Demographics
NPI:1669196028
Name:BONCY, SOPHIA
Entity type:Individual
Prefix:MS
First Name:SOPHIA
Middle Name:
Last Name:BONCY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SOPHIA
Other - Middle Name:BONCY
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SOCIAL WORKER
Mailing Address - Street 1:MOUNT SINAI HOSPITAL
Mailing Address - Street 2:ONE GUSTAVE L. LEVY PLACE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MOUNT SINAI HOSPITAL
Practice Address - Street 2:1 GUSTAV L. LEVY PLACE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:646-899-5651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118146-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker