Provider Demographics
NPI:1700182342
Name:VILE-DAILY, SONYA DEE
Entity Type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:DEE
Last Name:VILE-DAILY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 HOWLETT HILL RD
Mailing Address - Street 2:
Mailing Address - City:MARCELLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13108-9790
Mailing Address - Country:US
Mailing Address - Phone:315-673-9937
Mailing Address - Fax:
Practice Address - Street 1:2612 HOWLETT HILL RD
Practice Address - Street 2:
Practice Address - City:MARCELLUS
Practice Address - State:NY
Practice Address - Zip Code:13108-9790
Practice Address - Country:US
Practice Address - Phone:315-673-9937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-30
Last Update Date:2011-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145858-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse