Individual
STEPHANIE SOOHOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR DEPT OF, MANHASSET, NY 11030
(516) 562-4810
Mailing address
10 OLD JACKSON AVE UNIT 55, HASTINGS ON HUDSON, NY 10706-3236
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
245876
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2010
Last updated
10/31/2018
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