Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 264187 | NY |
NPI | 1023252244 |
---|---|
Provider Name | Dr. Sophia Anna Monsour |
First Address | Saratoga Springs, NY 12866-5142 |
Second Address | Saratoga Springs, NY 12866-5142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2009 |
Last Update Date | 23/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03608615 | (05) | NY |