Individual
SOUMYA VIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5381
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5381
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD483035
PA
390200000X
Student in an Organized Health Care Education/Training Program
282115
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2014
Last updated
02/09/2024
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