Organization
S&G MEDICAL OFFICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIN SONG M.D. (PRESIDENT)
(212) 233-2078
Entity
Organization
Contact information
Practice address
39 EAST BROADWAY, SUITE 603, NEW YORK, NY 10002
(212) 233-2078
(212) 233-2079
Mailing address
39 EAST BROADWAY, SUITE 603, NEW YORK, NY 10002
(212) 233-2078
(212) 233-2079
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
214737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01991455
—
NY
Enumeration date
05/26/2009
Last updated
05/26/2009
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