Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 006013 | NY |
NPI | 1003857210 |
---|---|
Provider Name | Dorene Soo-Hoo |
First Address | New York, NY 10013-4537 |
Second Address | New York, NY 10013-4537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 15/10/2013 |