Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | ML60380159 | WA |
N | 2081S0010X | Sports Medicine | 125.069781 | IL |
N | 213ES0000X | Sports Medicine | 125.069781 | IL |
Y | 2081S0010X | Sports Medicine | 292907-1 | NY |
Y | 213ES0000X | Sports Medicine | 292907-1 | NY |
NPI | 1003159674 |
---|---|
Provider Name | Jennifer Anne Soo Hoo |
First Address | New York, NY 10065-4870 |
Second Address | New York, NY 10065-4870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2013 |
Last Update Date | 03/04/2018 |