Provider Demographics
NPI:1992403224
Name:BREAKIRON, SONYA KOREN (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:KOREN
Last Name:BREAKIRON
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 POSSUM PARK RD STE 7
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3831
Mailing Address - Country:US
Mailing Address - Phone:302-781-3080
Mailing Address - Fax:302-781-3081
Practice Address - Street 1:201 POSSUM PARK RD STE 7
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-3831
Practice Address - Country:US
Practice Address - Phone:302-781-3080
Practice Address - Fax:302-781-3081
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE01121791-21246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty