Sondermatology, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2558341 Issued in NY

Legal business name

SONDERMATOLOGY, P.C.

Practice address

16410 Northern Blvd
Ste. 213
Flushing, NY 11358-2677

Phone

(201) 944-3800

NPI assigned

Aug 25, 2010

Last updated

Aug 25, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Myungah Claire An

Title

Office Manager

Phone

(201) 944-3800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1578879763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164-10 NORTHERN BLVD.",
            "address_2": "STE 213",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "201-944-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 NORTHERN BLVD",
            "address_2": "STE. 213",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582677",
            "telephone_number": "201-944-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONDERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "MYUNGAH",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-944-3800"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "2558341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Vicente Somoza
• Christine H Son, OMD
• Jiran Son, RPT
• Mi NA Son, M.D
• Gautami Sonar
• Song Heart and Vascular PC
• A Li Song
• Aifeng Song
• Dapeng Song
• Deping Song

• Dermatology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.