Individual
DR. CHRISTOPHER S. SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9020 5TH AVE FL 3, BROOKLYN, NY 11209-5908
(718) 833-0515
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
232417-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02575611
—
NY
Enumeration date
12/13/2005
Last updated
04/04/2019
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