Individual provider · Type 1 NPI

Sophia Kiciuk, FNP

Family Nurse Practitioner · White Plains, NY

NPI number 1114170701 Active

Practice location

1111 Westchester Ave, Pepsico Employee Health Office
White Plains, NY 10604-3525

Fax (914) 253-3557

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF330452-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1114170701

Sophia Kiciuk, FNP's National Provider Identifier is 1114170701, issued on Oct 28, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in White Plains, NY. The record was last updated on Feb 24, 2017.