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Individual

DR. PATRICK-HENRIE SO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
160 VARICK ST FL 5, NEW YORK, NY 10013-1285
(917) 554-8287
Mailing address
282 ATLANTIC AVE, BROOKLYN, NY 11201-5715

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
219083
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02109557
NY
Enumeration date
07/24/2006
Last updated
04/06/2015
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