Doctor Name: | MARY JOAN SONSONA |
NPI Number: | 1811388309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 034731 |
Business Practice Address: | 5019 67th St Floor # 3 Woodside, NY - 113777508 |
Business Phone Number: | 3472076073 |
Business Fax Number: | |
Mailing Address: | 5019 67th St, Floor # 3 WOODSIDE |
State: | NY |
Postal Code: | 113777508 |
Phone Number: | 3472076073 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2015 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 034731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |