Provider Demographics
NPI:1972637536
Name:COMINS, SONYA ANN (ATC)
Entity type:Individual
Prefix:MS
First Name:SONYA
Middle Name:ANN
Last Name:COMINS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:99 TOMPKINS ST
Mailing Address - Street 2:APT. 5
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-2450
Mailing Address - Country:US
Mailing Address - Phone:607-753-8470
Mailing Address - Fax:
Practice Address - Street 1:PASHLEY DRIVE PER BUILDING
Practice Address - Street 2:STATE UNIVERSITY OF NEW YORK COLLEGE OF CORTLAND
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045
Practice Address - Country:US
Practice Address - Phone:607-753-4602
Practice Address - Fax:607-753-5929
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000212-12255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer