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NPI Code Detail

MEDICARE: MS. SONIA MARGARITA AMIRA MS ED

MEDICARE:  MS. SONIA MARGARITA AMIRA  MS ED
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
1174400000XSpecialist

General Provider Information

NPI Number : 1982967097
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SONIA MARGARITA AMIRA MS ED
Provider Business Mailing Address
First Line : 800 CONCOURSE VLG W
Second Line : APT. #6D
City : BRONX
State : NY
Zip : 10451-3607
Country : US
Telephone Number : 646-319-0435
Fax Number :
Provider Business Practice Location Address
First Line : 800 CONCOURSE VLG W
Second Line : APT. #6D
City : BRONX
State : NY
Zip : 10451-3607
Country : US
Telephone Number : 646-319-0435
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2012
Last Update Date : 06/22/2012

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