Healthcare Provider Details

I. General information

NPI: 1154246585
Provider Name (Legal Business Name): SOPHIA ROSE DELPAPA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 MAPLE RD
BUFFALO NY
14221-3291
US

IV. Provider business mailing address

1149 DELAWARE AVE APT 3
BUFFALO NY
14209-1611
US

V. Phone/Fax

Practice location:
  • Phone: 716-710-8266
  • Fax:
Mailing address:
  • Phone: 315-879-0156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: