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NPI Code Detail

MEDICARE: SOPHIA LAFORTUNE

MEDICARE: SOPHIA LAFORTUNE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician679208NY

General Provider Information

NPI Number : 1801755624
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA LAFORTUNE
Provider Business Mailing Address
First Line : 767 NEW ST
Second Line :
City : UNIONDALE
State : NY
Zip : 11553-3418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10201 66TH RD
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-2029
Country : US
Telephone Number : 718-830-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ SOPHIA LAFORTUNE ” Practice Location

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