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

Sophia Palmer

Individual provider Gerontology Nurse Practitioner · NPI 1003225152

Sophia Palmer is a Nurse Practitioner in Amityville, New York. Qualified in 2017, 9 years ago. Practices with The Long Island Home, a 23-clinician group. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2014

Practice location Address checks out

11 Poplar Rd
Amityville, NY 11701-1016
Phone: (631) 464-2889
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AG0514061 (NY)

Record details

NPI number1003225152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2014
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023
Mailing address11 Poplar Rd, Amityville, NY 11701-1016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Long Island Home — 23 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare