Healthcare Provider Details

I. General information

NPI: 1578602850
Provider Name (Legal Business Name): SONIA SAPORITO ALFORD RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 W 168TH ST PH 14 CENTER FOR LIVER DISEASE & TRANSPOLANTATION
NEW YORK NY
10032-3720
US

IV. Provider business mailing address

622 W 168TH ST PH 14 CENTER FOR LIVER DISEASE & TRANSPOLANTATION
NEW YORK NY
10032-3720
US

V. Phone/Fax

Practice location:
  • Phone: 610-438-2668
  • Fax:
Mailing address:
  • Phone: 610-438-2668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number008341
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberMA 008341
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: