Individual
WON SOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21333 39TH AVE STE 248, BAYSIDE, NY 11361-2092
(718) 428-5333
(718) 428-5332
Mailing address
PO BOX 605043, BAYSIDE, NY 11360-5043
(718) 428-5333
(718) 428-5332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207025
NY
207RG0100X
Gastroenterology Physician
Primary
207025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02088860
—
NY
Enumeration date
05/16/2006
Last updated
11/18/2011
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