Individual provider · Type 1 NPI

Sophia A. Manoussos, MD

Student in an Organized Health Care Education/Training Program · Paterson, NJ

NPI number 1285263848 Active

Practice location

703 Main St
Paterson, NJ 07503-2621

Mailing address

11 Sound Bay Dr
Lloyd Harbor, NY 11743-9791

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285263848

Sophia A. Manoussos, MD's National Provider Identifier is 1285263848, issued on Apr 6, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Paterson, NJ. The record was last updated on Apr 6, 2020.