Provider Demographics
NPI:1982967097
Name:AMIRA, SONIA MARGARITA (MS ED)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:MARGARITA
Last Name:AMIRA
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CONCOURSE VLG W
Mailing Address - Street 2:APT. #6D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3607
Mailing Address - Country:US
Mailing Address - Phone:646-319-0435
Mailing Address - Fax:
Practice Address - Street 1:800 CONCOURSE VLG W
Practice Address - Street 2:APT. #6D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3607
Practice Address - Country:US
Practice Address - Phone:646-319-0435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist