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

Individual provider Physician Assistant · NPI 1134276058

Sophia Spence, PA is a Physician Assistant in Brooklyn, New York. Qualified in 1994, 32 years ago. Practices with Maimonides Faculty Practice Plan, a 246-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

450 Clarkson Ave
Brooklyn, NY 11203-2056
Phone: (718) 270-4217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005396 (NY)

Record details

NPI number1134276058
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESMay 3, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Maimonides Faculty Practice Plan — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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