Most Relevant Information
Provider Data
| NPI Number: | 1003225152 |
| Provider Name: | SOPHIA PALMER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | AG0514061 |
Most Important Dates
| Enumeration Date: | 08/02/2014 |
| Last Updated: | 10/03/2023 |
Provider Practice Location
11 POPLAR RD
AMITYVILLE
NY
117011016
Practice Location Phone/Fax
| Phone: | 6314642889 |
| Fax: |
Provider Mailing Location
11 POPLAR RD
AMITYVILLE
NY
117011016
Provider Mailing Phone/Fax
| Phone: | 6318422286 |
| Fax: |