Individual
DR. JANE SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HEROES WAY, RIVERHEAD, NY 11901-2058
(631) 548-6113
Mailing address
69A GNARLED HOLLOW RD, EAST SETAUKET, NY 11733-2026
(201) 417-9649
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
FS4460274
NY
Other
Enumeration date
03/26/2010
Last updated
11/13/2023
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