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General NPI Number Information
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NPI Number | 1639873144
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Entity Type | Organization
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Legal Business Name | SOMOS MEDICAL, P.C
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 9 SICKLES ST APT 1A
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City | NEW YORK
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State | NY
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Zip | 10040-1646
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Country | US
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Telephone | 833-766-3622
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Fax | 347-825-6928
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Provider Business Mailing Address
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Address Line | 571 ACADEMY ST APT 1A
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City | NEW YORK
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State | NY
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Zip | 10034-5105
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Country | US
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Telephone | 833-766-3622
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Fax | 347-825-6928
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACQUELINE DELMONT
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Credential | MD
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Telephone | 516-610-8014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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