SOON-IL SONG


Address: 82 Holland St, Rochester, NY 14605-2131
Phone: 5854235800

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 260927 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 03361960 05

Office Location

Street Address 82 HOLLAND ST
City ROCHESTER
State NY
Zip Code 14605-2131

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City ROCHESTER
Zip Code 14605

Improve Information

Please comment or provide details below to improve the information on SOON-IL SONG.

Dataset Information

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.

Trending Searches