Provider Demographics
NPI:1194973974
Name:SOKOL, CHAYA
Entity type:Individual
Prefix:
First Name:CHAYA
Middle Name:
Last Name:SOKOL
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 1:5691 BROOKFIELD CIR W
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6283
Mailing Address - Country:US
Mailing Address - Phone:718-510-6776
Mailing Address - Fax:
Practice Address - Street 1:5691 BROOKFIELD CIR W
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6283
Practice Address - Country:US
Practice Address - Phone:718-510-6776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-04
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered