Individual
JOO H SOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 SILLS ROAD, BLDG 1 SUITE A, EAST PATCHOGUE, NY 11772-4875
(631) 475-3102
(631) 475-3489
Mailing address
285 SILLS RD, BLDG 1 SUITE A, EAST PATCHOGUE, NY 11772-4869
(631) 475-3102
(631) 475-3489
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
112275
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00621274
—
NY
01
—
113063286
FEDERAL IDENTIFICATION #
—
Enumeration date
10/26/2006
Last updated
01/07/2020
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