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NPI Code Detail

MEDICARE: JAYDEN SOHN

MEDICARE: JAYDEN SOHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist007400NY

General Provider Information

NPI Number : 1659135168
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYDEN SOHN
Provider Business Mailing Address
First Line : 6435 229TH ST FL 2
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-2711
Country : US
Telephone Number : 71-898-6188
Fax Number :
Provider Business Practice Location Address
First Line : 6435 229TH ST FL 2
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-2711
Country : US
Telephone Number : 718-986-1882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2024
Last Update Date : 02/06/2024

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