Sophia Staley
Sophia Staley is a Nurse Practitioner in Flushing, New York. Qualified in 2018, 8 years ago. Practices with New York Medical and Diagnostic Center Inc, a 14-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 8
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
6716 Parsons Blvd Apt 6CFlushing, NY 11365-2958
Phone: (718) 591-5308
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Critical Care Medicine Nurse Practitioner (primary) | Taxonomy 363LC0200X · Licence F432146-01 (NY) |
|---|
Record details
| NPI number | 1205507597 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2021 |
| Last updated in NPPES | September 26, 2021 |
| Certification date | September 26, 2021 |
| Mailing address | 6716 Parsons Blvd Apt 6c, Flushing, NY 11365-2958 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | New York Medical And Diagnostic Center Inc — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |