Provider Demographics
NPI:1063088797
Name:CORDERO-NARVAEZ, SONIA
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:CORDERO-NARVAEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-2610
Mailing Address - Country:US
Mailing Address - Phone:646-710-0639
Mailing Address - Fax:
Practice Address - Street 1:8 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-2610
Practice Address - Country:US
Practice Address - Phone:646-710-0639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist