Individual
SOO-YEON SOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-7215
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
00000000
VA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
064162-01
NY
Other
Enumeration date
02/10/2021
Last updated
03/04/2026
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