Healthcare Provider Details

I. General information

NPI: 1700701059
Provider Name (Legal Business Name): MISS SONJA GABRIEL ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

35 E 110TH ST FL 4
NEW YORK NY
10029-0450
US

IV. Provider business mailing address

642 LAFAYETTE AVE APT 1B
BROOKLYN NY
11216-4613
US

V. Phone/Fax

Practice location:
  • Phone: 212-360-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: