Organization
SOHO COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT)
(202) 254-0339
Entity
Organization
Contact information
Practice address
245 W HOUSTON ST, ROOM 313, NEW YORK, NY 10014-4805
(212) 337-2569
(212) 337-2537
Mailing address
245 W HOUSTON ST, ROOM 313, NEW YORK, NY 10014-4805
(212) 337-2569
(212) 337-2537
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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