Individual
DR. DEREK K SOOHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 HUGUENOT ST STE 610, NEW ROCHELLE, NY 10801
(914) 235-1888
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
186579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00721737
RAILROAD MEDICARE
NY
Enumeration date
11/20/2006
Last updated
04/04/2019
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