Healthcare Provider Details

I. General information

NPI: 1487562963
Provider Name (Legal Business Name): MS. SOFIA DELAROSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STONY BROOK CT
NEWBURGH NY
12550-6519
US

IV. Provider business mailing address

39 NORTH ST
BEACON NY
12508-2842
US

V. Phone/Fax

Practice location:
  • Phone: 914-734-5248
  • Fax:
Mailing address:
  • Phone: 786-368-3609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: