Most Relevant Information
Provider Data
| NPI Number: | 1003500273 |
| Provider Name: | SOPHIA HANSON-CHARLES |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 490041 |
Most Important Dates
| Enumeration Date: | 06/08/2023 |
| Last Updated: | 06/08/2023 |
Provider Practice Location
807 SPRING BROOK ESTATES RD
ROSCOE
NY
127762587
Practice Location Phone/Fax
| Phone: | 9172826897 |
| Fax: |
Provider Mailing Location
807 SPRING BROOK ESTATES RD
ROSCOE
NY
127762587
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |