Archuleta, Sophia

Archuleta, Sophia is an sole proprietor health care provider with primary practice located at 119 W 24Th St Ground Floor, New York NY 10011-1913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Archuleta, Sophia can be contacted via phone (212) 746-7200.

Contact Information

Primary practice address
119 W 24Th St Ground Floor New York NY 10011-1913
Fax: (212) 746-7166
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 214612 New York

Profile Details

NPI number 1144369497
LBN Legal business name Archuleta, Sophia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144369497 NPPES
New York MEDICAID 02459736

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