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Individual

SUNG J SOHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15 MATTHEWS ST, GOSHEN, NY 10924-1995
(845) 294-7833
(845) 294-5820
Mailing address
PO BOX 605, GOSHEN, NY 10924-0605
(845) 294-7833
(845) 294-5820

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
129468
NY
207RN0300X
Nephrology Physician
Primary
129468
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00545648
NY
Enumeration date
08/10/2005
Last updated
11/07/2025
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