Individual provider · Type 1 NPI

Soprinye Elim Dappa-Fombo, MD

Student in an Organized Health Care Education/Training Program · Poughkeepsie, NY

NPI number 1447955331 Active

Practice location

2649 South Rd Ste 104
Poughkeepsie, NY 12601-6843

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice locations

  • 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 502-2037

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.

3 other providers at this address

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About NPI 1447955331

Soprinye Elim Dappa-Fombo, MD's National Provider Identifier is 1447955331, issued on Mar 31, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Poughkeepsie, NY. The record was last updated on Jun 16, 2026.