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

Individual provider Physician Assistant · NPI 1831793652

Sophia Lane, PA-C is a Physician Assistant in Brooklyn, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

745 64th St Ste 2
Brooklyn, NY 11220-4753
Phone: (718) 765-2520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 32 Washington St, Nyack, NY 10960-3728 — (845) 709-3379

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026115 (NY)

Record details

NPI number1831793652
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 23, 2020
Last updated in NPPESApril 23, 2021
Certification dateApril 22, 2021

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