Individual
ROBERT MICHAEL SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S BLDG 6, BRONX, NY 10461-1119
(718) 918-5820
Mailing address
18 N BROADWAY UNIT 107, TARRYTOWN, NY 10591-3223
(631) 901-8675
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
298012
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2015
Last updated
11/20/2020
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