SearchNew York164W00000X

Sophia Livermore

NPI 1275994568 · on the registry since 2016

Practice

Address
78 Pamela Ln
Brentwood, NY 11717
Phone
(631) 972-3797

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York