Individual
JANE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 E 14TH ST STE 603S, NEW YORK, NY 10003-4284
(212) 979-4565
Mailing address
1356 LUSITANA ST, SUITE 510, HONOLULU, HI 96813-2409
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
297665
NY
Other
Enumeration date
05/11/2015
Last updated
06/01/2019
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