SOON-IL SONG (NPI# 1063464386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063464386 |
Entity Type | Individual |
Full Name | SOON-IL SONG |
Credential | M.D. |
Practice Address |
82 Holland St Rochester NY 14605-2131 |
Mailing Address |
214c Lake Ave Rochester NY 14608-1208 |
Practice Telephone | 5854235800 |
Practice Fax Number | 5854232890 |
Mailing Telephone | 5854235800 |
Mailing Fax Number | 5854232890 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2017-01-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 260927 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03361960 | 05 |
Street Address |
82 HOLLAND ST |
City | ROCHESTER |
State | NY |
Zip Code | 14605-2131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306844691 | Michael L Christie | Family Medicine | 82 Holland St, Rochester, NY 14605-2131 | 2005-07-11 |
1245852706 | Angela Marie Mang | Counselor | 82 Holland St, Rochester, NY 14605-2131 | 2020-05-07 |
1518439116 | Emily Jade Zeafla | Physician Assistant | 82 Holland St, Rochester, NY 14605-2131 | 2018-12-20 |
1891260683 | Karen Nicole Finklea | Physician Assistant | 82 Holland St, Rochester, NY 14605-2199 | 2018-10-08 |
1205322708 | Lauren Michelle Burdett | Counselor | 82 Holland St, Rochester, NY 14605-2131 | 2018-07-08 |
1952892697 | Kara Anne Fredette-benitez | Social Worker | 82 Holland St, Rochester, NY 14605-2131 | 2018-05-29 |
1649774183 | Fanny Siman Lean Ho | Registered Nurse | 82 Holland St, Rochester, NY 14605-2131 | 2018-03-20 |
1508391475 | Kristie Lynn Dearman | Pharmacist | 82 Holland St, Rochester, NY 14605-2131 | 2017-04-27 |
1184166779 | Tamara Wilson Cisnero | General Practice | 82 Holland St, Rochester, NY 14605-2131 | 2016-11-14 |
1639621709 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland St, Rochester, NY 14605-2131 | 2016-10-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467090761 | Community Medical Services, PC | Family Medicine | Community Medical Services, PC, 39 Delevan Street, Rochester, NY 14605 | 2019-12-17 |
1578090874 | Saronna Asaunte ' Wilson | Nurse's Aide | 127 First Street Apt. 003, Rochester, NY 14605 | 2017-05-17 |
1215296975 | Aletha Ward Bouie | Licensed Practical Nurse | 120 Fifth Street, Rochester, NY 14605 | 2012-05-15 |
1598030165 | Batten for You | Home Health | 8 Vetter St., Rochester, NY 14605 | 2012-03-15 |
1063781219 | Andrea Silvana Escos | Physical Therapist | 173 Martin Street, Rochester, NY 14605 | 2011-12-16 |
1740589571 | Tammy J Beller | Speech-Language Pathologist | 690 St Paul Street Rm 321, Rochester Preschool Parent Program, Rochester, NY 14605 | 2011-03-18 |
1942507074 | Natalie Banks Hickman | Registered Nurse | Baden Street Settlement of Rochester, 585 Joseph Avenue, Rochester, NY 14605 | 2011-02-25 |
1013226489 | Robin Lynn Hill | Registered Nurse | 62 Sixth St, Rochester, NY 14605 | 2010-10-01 |
1154651891 | Taunya Llvertrice Johnson | Registered Nurse | 446 Alexander St, Rochester, NY 14605 | 2009-12-31 |
1154515799 | Gloria Jean Keitt I | Licensed Practical Nurse | 14 Weeger Street, Rochester, NY 14605 | 2007-08-28 |
Find all providers in zip 14605 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326694225 | Henry John James Ess Iv Do Pllc | Internal Medicine | 309 Exchange Blvd Ste A, Rochester, NY 14608-2708 | 2019-08-15 |
1588180087 | Shelby Jo Lee | Internal Medicine | 2561 Lac De Ville Blvd Ste 100, Rochester, NY 14618-5645 | 2017-08-16 |
1598294704 | Ayad Sadda | Internal Medicine | 1425 Portland Ave Ste 287, Rochester, NY 14621-3011 | 2017-06-09 |
1184150567 | Kayla Leonard Correia-staudt | Internal Medicine | 959 Panorama Trl S Ste 100, Rochester, NY 14625-2311 | 2017-05-04 |
1912438342 | William J. Brorein, Jr., M.d., Ph.d. | Internal Medicine | 2237 Clinton Ave S, Rochester, NY 14618-2623 | 2017-03-27 |
1871944520 | Kayleigh Punch | Internal Medicine | 2655 Ridgeway Ave Ste 480, Rochester, NY 14626-4296 | 2016-06-23 |
1003260837 | Natalia Golub | Internal Medicine | 30 Hagen Dr Ste 320, Rochester, NY 14625 | 2016-04-18 |
1699161018 | Gregory Rosic | Internal Medicine | 6 Healthcare Dr Ste 2, Rochester, NH 03867-4499 | 2015-04-13 |
1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
1386086957 | Robert M Kerper Md, Pllc | Internal Medicine | 26 South Goodman Street, Rochester, NY 14607 | 2013-07-24 |
Find all providers in ROCHESTER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.