Basic Information
Provider Information
NPI: 1982298642
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOBERS
FirstName: SINEAD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 22 IBM RD. SUITE 210
Address2: PARK SLOPE ANESTHESIA ASSOCIATES PC
City: POUGHKEEPSIE
State: NY
PostalCode: 12601
CountryCode: US
TelephoneNumber: 8668688416
FaxNumber: 8457902675
Practice Location
Address1: 506 6TH ST.
Address2: NY METHODIST HOSPITAL
City: BROOKLYN
State: NY
PostalCode: 11215
CountryCode: US
TelephoneNumber: 7187803000
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/23/2021
LastUpdateDate: 03/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X676137NYY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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