Provider Demographics
NPI:1306109749
Name:BAROLETTE, SONIA P (RN)
Entity type:Individual
Prefix:MISS
First Name:SONIA
Middle Name:P
Last Name:BAROLETTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:SONIA
Other - Middle Name:P
Other - Last Name:BAROLETTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2319 LEIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-3517
Mailing Address - Country:US
Mailing Address - Phone:732-616-6368
Mailing Address - Fax:
Practice Address - Street 1:40 RECTOR ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-1705
Practice Address - Country:US
Practice Address - Phone:646-784-7759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY558323163W00000X, 163WC1500X, 163WP0808X, 163WH1000X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy