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Organization
SUMMIT MEDICAL PC
Active
Organization
SUMMIT MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WON SOHN M.D. (OWNER)
(718) 428-5333
Entity
Organization
Contact information
Practice address
21333 39TH AVE, SUITE 248, BAYSIDE, NY 11361-2091
(718) 428-5333
(718) 428-5332
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02088860
—
NY
Enumeration date
10/18/2011
Last updated
12/19/2011
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