Healthcare Provider Details

I. General information

NPI: 1689504896
Provider Name (Legal Business Name): SOH-MANG SOCIAL DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4014 157TH ST
FLUSHING NY
11354-5046
US

IV. Provider business mailing address

4014 157TH ST
FLUSHING NY
11354-5046
US

V. Phone/Fax

Practice location:
  • Phone: 718-551-8517
  • Fax: 718-228-7556
Mailing address:
  • Phone: 718-551-8517
  • Fax: 718-228-7556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PETER KIM
Title or Position: PRESIDENT
Credential:
Phone: 718-551-8517