| Soho Medical Doctors, Pllc | |
|
104 W 40th St Rm 500 New York NY 10018-3770 | |
| (212) 369-6757 | |
| (212) 369-3941 |
| Full Name | Soho Medical Doctors, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 104 W 40th St Rm 500, New York, New York |
| Authorized Official Name and Position | Jacques Jospitre (PSYCHIATRIST) |
| Authorized Official Contact | 2123696757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soho Medical Doctors, Pllc 104 W 40th St Rm 500 New York NY 10018-3770 Ph: (212) 369-6757 | Soho Medical Doctors, Pllc 104 W 40th St Rm 500 New York NY 10018-3770 Ph: (212) 369-6757 |
| NPI Number | 1497184568 |
|---|---|
| Provider Enumeration Date | 11/08/2013 |
| Last Update Date | 10/27/2023 |
| Certification Date | 10/27/2023 |
| Medicare PECOS PAC ID | 0648712422 |
|---|---|
| Medicare Enrollment ID | O20240607001946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497184568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 228171 (New York) | Primary |
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