Provider Demographics
NPI:1811315609
Name:LEID, SONIA HERSILLE (RN)
Entity type:Individual
Prefix:MS
First Name:SONIA
Middle Name:HERSILLE
Last Name:LEID
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:SONIA
Other - Middle Name:HERSILLE
Other - Last Name:LEID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:445 PINEBROOK BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3927
Mailing Address - Country:US
Mailing Address - Phone:914-632-1255
Mailing Address - Fax:914-632-0665
Practice Address - Street 1:445 PINEBROOK BLVD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-3927
Practice Address - Country:US
Practice Address - Phone:914-632-1255
Practice Address - Fax:914-632-0665
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213643-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health