Healthcare Provider Details

I. General information

NPI: 1851209928
Provider Name (Legal Business Name): MARGARITA SADYKOVA SOFIEV NP IN FAMILY HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 GLENWOOD DR
GREAT NECK NY
11021-1836
US

IV. Provider business mailing address

21 GLENWOOD DR
GREAT NECK NY
11021-1836
US

V. Phone/Fax

Practice location:
  • Phone: 917-501-1612
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARGARITA SADYKOVA
Title or Position: NP
Credential:
Phone: 917-501-1612