Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jan Phyllis Sophir

Individual provider Specialist · NPI 1558622464

Mrs. Jan Phyllis Sophir is a Specialist in Port Washington, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

30 Cherrywood Ln
Port Washington, NY 11050-4534
Phone: (516) 443-8061
Fax: (516) 627-4999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 802156981 (NY)

Record details

NPI number1558622464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 6, 2012
Last updated in NPPESJune 6, 2012

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