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1831793652
SOPHIA LANE
BROOKLYN, NY
NPI
1831793652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 026115)
Enumeration Date
2020-11-23
Last Update Date
2021-04-23
Business Address
SOPHIA LANE PA-C
745 64TH ST STE 2
BROOKLYN, NY 11220-4753
Phone number: 718-765-2520
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Mailing Address
SOPHIA LANE PA-C
745 64TH ST STE 2
BROOKLYN, NY 11220-4753
Phone number: 718-765-2520
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