| Sonia Innocent, | |
|
147 Elm St, Valley Stream, NY 11580-4913 | |
| (347) 856-4652 | |
| Not Available |
| Full Name | Sonia Innocent |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health, Child & Adolescent |
| Location | 147 Elm St, Valley Stream, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780404681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | F406362-01 (New York) | Primary |
| Entity Name | Essen Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
| Entity Name | House Call Medical Services Of New York Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427 |
| Entity Name | Bronx Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726087 PECOS PAC ID: 9739496100 Enrollment ID: O20150917000004 |
| Entity Name | Shakespeare Operating Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720634538 PECOS PAC ID: 0840604310 Enrollment ID: O20210123000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Sonia Innocent, 147 Elm St, Valley Stream, NY 11580-4913 Ph: (347) 856-4652 | Sonia Innocent, 147 Elm St, Valley Stream, NY 11580-4913 Ph: (347) 856-4652 |
Natalie M Carty, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13 Cleveland St., Valley Stream, NY 11580 Phone: 516-823-0739 Fax: 516-823-1550 | |
Marie I Blanchard, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13 Cleveland St, Valley Stream, NY 11580 Phone: 516-823-0739 | |
Jonathan Castaneda, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20 E Beverly Pkwy, Valley Stream, NY 11580 Phone: 516-668-1206 | |
Karen Gustave, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 220 Hillside Ave, Valley Stream, NY 11580 Phone: 516-514-6261 | |
Victoria Babalola, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 91 Roosevelt Ave, Valley Stream, NY 11581 Phone: 516-295-1333 | |
David Lee Hylton, FNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13 Cleveland St, Valley Stream, NY 11580 Phone: 516-823-0739 | |
Ms. Stacey Julien, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13 Cleveland St, Valley Stream, NY 11580 Phone: 516-823-0739 |