Healthcare Provider Details

I. General information

NPI: 1962700872
Provider Name (Legal Business Name): SORANA VRABIE-WOLF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SORANA VRABIE

II. Dates (important events)

Enumeration Date: 03/02/2011
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BRADHURST AVE STE 2700
HAWTHORNE NY
10532-2170
US

IV. Provider business mailing address

19 BRADHURST AVE STE 3100N
HAWTHORNE NY
10532-2140
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-2250
  • Fax: 914-493-2060
Mailing address:
  • Phone: 914-909-9018
  • Fax: 914-909-9028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number259037
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: