Individual provider · Type 1 NPI

Songhoe Song, D.D.S

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1346534807 Active

Practice location

630 W 168th St, BOX20,PH 7E-110
New York, NY 10032-3725

Call (212) 342-3008 Map

Mailing address

530 W 163rd St Apt 1C
New York, NY 10032-5841

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XP78491 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346534807

Songhoe Song, D.D.S's National Provider Identifier is 1346534807, issued on Jun 1, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 1, 2011.