Provider Demographics
NPI:1144051996
Name:SONYA SARIEGO LLC
Entity type:Organization
Organization Name:SONYA SARIEGO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARIEGO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:607-329-9431
Mailing Address - Street 1:5106 CRONIN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAMS
Mailing Address - State:NY
Mailing Address - Zip Code:14812-9208
Mailing Address - Country:US
Mailing Address - Phone:607-329-9431
Mailing Address - Fax:
Practice Address - Street 1:5106 CRONIN CREEK RD
Practice Address - Street 2:
Practice Address - City:BEAVER DAMS
Practice Address - State:NY
Practice Address - Zip Code:14812-9208
Practice Address - Country:US
Practice Address - Phone:607-329-9431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty