MEDICARE: SONDRA S PAPANEK IIN

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
1	133NN1002X	Nutrition Education Nutritionist		NY

General Provider Information

NPI Number	:	1881560589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONDRA S PAPANEK IIN

Provider Business Mailing Address
First Line	:	106 7TH AVE FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-1837
Country	:	US
Telephone Number	:	917-776-2487
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 7TH AVE FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-1837
Country	:	US
Telephone Number	:	917-776-2487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2025
Last Update Date	:	10/11/2025

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Directions to “ SONDRA S PAPANEK IIN” Practice Location

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