Active NPIIndividual provider

Dr. Sofia Kondrashin, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Ridgewood, New Jersey

NPI Number1750460754
Practice location
120 Chestnut Street, Ridgewood, NJ 07450
Fax
201-934-0019
Last updated
July 8, 2007

Sofia Kondrashin is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Ridgewood, NJ. Sofia Kondrashin practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Sofia Kondrashin is 1750460754 and holds a License No. 25MA07661100 (NJ). The current practice location address for Sofia Kondrashin is 120 Chestnut Street, Ridgewood, NJ 07450 and can be reached out via phone at 201-444-3550 and via fax at 201-934-0019.

Provider Profile Details

NPI Number
1750460754
Provider Name
Sofia Kondrashin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
120 Chestnut Street, Ridgewood, NJ 07450
Phone Number
201-444-3550
Fax Number
201-934-0019
Sole Proprietor
No
Provider Enumeration Date
November 2, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Chestnut Street
Ridgewood, NJ 07450
Zip
07450
Phone Number
201-444-3550
Fax Number
201-934-0019
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
120 Chestnut Street
Ridgewood, NJ 07450
City
Ridgewood
State
NJ
Zip
07450
Phone Number
201-444-3550
Fax Number
201-934-0019

License Information

License Number
25MA07661100
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Sofia Kondrashin, MD?

The NPI number of Dr. Sofia Kondrashin, MD is 1750460754. It was assigned on November 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Sofia Kondrashin, MD?

Dr. Sofia Kondrashin, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in NJ under license number 25MA07661100.

Where does Dr. Sofia Kondrashin, MD practice?

The practice location is 120 Chestnut Street, Ridgewood, NJ 07450. The office can be reached at 201-444-3550 (phone) or 201-934-0019 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750460754 directly on the NPPES registry website.

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