Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 205132 | NY |
N | 208000000X | Pediatrician | MA67066 | NJ |
Y | 2080P0205X | Pediatric Endocrinologist | 205132 | NY |
NPI | 1083872360 |
---|---|
Provider Name | Dr. Aviva Bracha Sopher |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 19/12/2021 |