Healthcare Provider Details

I. General information

NPI: 1710674387
Provider Name (Legal Business Name): SONIMED TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 04/24/2023
Certification Date: 04/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2385 3RD AVE APT 824
BRONX NY
10451-2157
US

IV. Provider business mailing address

2385 3RD AVE APT 824
BRONX NY
10451-2157
US

V. Phone/Fax

Practice location:
  • Phone: 646-290-4545
  • Fax:
Mailing address:
  • Phone: 646-290-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. SONIA JASMINE BONSU
Title or Position: OWNER
Credential: NP
Phone: 646-290-4545