Healthcare Provider Details

I. General information

NPI: 1407779929
Provider Name (Legal Business Name): SOPHIA STRAUSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOLLOW LN STE 301
NEW HYDE PARK NY
11042-1215
US

IV. Provider business mailing address

147 POE RD STE 301
PRINCETON NJ
08540-4121
US

V. Phone/Fax

Practice location:
  • Phone: 516-869-0650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number132178
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: