Healthcare Provider Details

I. General information

NPI: 1710323258
Provider Name (Legal Business Name): SONIA SHARON EDEY ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2013
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 PARKSIDE RD
WEST HEMPSTEAD NY
11552-4222
US

IV. Provider business mailing address

24 PARKSIDE RD
WEST HEMPSTEAD NY
11552-4222
US

V. Phone/Fax

Practice location:
  • Phone: 516-754-1906
  • Fax: 516-895-6553
Mailing address:
  • Phone: 516-754-1906
  • Fax: 516-895-6553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF306262-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License Number5596631
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: