Provider Demographics
NPI:1891488979
Name:SOTMARY, CHRISTINE A (LAC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:SOTMARY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 513
Mailing Address - Street 2:
Mailing Address - City:CROMPOND
Mailing Address - State:NY
Mailing Address - Zip Code:10517-0513
Mailing Address - Country:US
Mailing Address - Phone:917-273-1308
Mailing Address - Fax:
Practice Address - Street 1:939 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2008
Practice Address - Country:US
Practice Address - Phone:914-488-5763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1195171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist