Individual
TERESA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 E 87TH ST APT 1A, NEW YORK, NY 10128-0501
(212) 996-6900
Mailing address
12 E 87TH ST APT 1A, NEW YORK, NY 10128-0501
(212) 996-6900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
321001
NY
Other
Enumeration date
04/15/2019
Last updated
12/10/2025
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