Song, Gi Suk
Song, Gi Suk is an individual health care provider with primary practice located at 105 Marys Ave , Kingston NY 12401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Song, Gi Suk can be contacted via phone (845) 338-2500.Contact Information
Primary practice address
105 Marys Ave
Kingston NY 12401
Phone: (845) 338-2500
Fax: (845) 338-5616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 170312-1 | New York |
Profile Details
| NPI number | 1114952066 |
|---|---|
| LBN Legal business name | Song, Gi Suk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | May 22nd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114952066 | NPPES |
| New York | MEDICAID | 01232508 |
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