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NPI Code Detail

MEDICARE: SONICLEIBS, INC.

MEDICARE: SONICLEIBS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care AgencyHP0150900NJ

General Provider Information

NPI Number : 1215235734
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONICLEIBS, INC.
Provider Business Mailing Address
First Line : 575 LEXINGTON AVE FL 4
Second Line :
City : NEW YORK
State : NY
Zip : 10022-6146
Country : US
Telephone Number : 888-705-1191
Fax Number : 888-543-9207
Provider Business Practice Location Address
First Line : 575 LEXINGTON AVE FL 4
Second Line :
City : NEW YORK
State : NY
Zip : 10022-6146
Country : US
Telephone Number : 888-705-1191
Fax Number : 888-543-9207
Authorized Official
Title or Position : PRESIDENT / OWNER
Name : DAVID MUSON
Credential :
Telephone Number : 888-705-1191
Provider Enumeration Date : 03/08/2011
Last Update Date : 11/30/2011

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Directions to “SONICLEIBS, INC. ” Practice Location

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