Organization
ANDREW Y SOH, M.D.
Active
Other names
Harbor Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW Y SOH M.D. (OWNER)
(716) 871-0171
Entity
Organization
Contact information
Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 871-0171
(716) 871-0183
Mailing address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 871-0171
(716) 871-0183
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
172437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010170201
UNIVERA
NY
01
—
000510477002
BLUE CROSS BLUE SHIELD WN
NY
05
—
01218271
—
NY
01
—
2706544
INDEPENDENT HEALTH
NY
Enumeration date
07/18/2007
Last updated
07/18/2007
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