NPI Index

MR. JUANITO SO, MD

Internal Medicine - Geriatric Medicine

Active Individual
NPI: 1659370146

Practice Address

380 GUY PARK AVE
ST. MARY'S HOSPITAL, FAM HLTH CNTR AT CARONDELET PAVILI
Amsterdam, NY 12010

Phone: (518) 841-7415

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No 137258/-1 (NY)
Internal Medicine - Geriatric Medicine 207RG0300X Yes 137258-1 (NY)

Frequently Asked Questions

NPI 1659370146 is the National Provider Identifier for MR. JUANITO SO, MD, a Internal Medicine - Geriatric Medicine provider located in Amsterdam, NY. This NPI was enumerated on July 18, 2005.
MR. JUANITO SO, MD practices at 380 GUY PARK AVE, ST. MARY'S HOSPITAL, FAM HLTH CNTR AT CARONDELET PAVILI, Amsterdam, NY 12010.

Quick Facts

NPI
1659370146
Type
Individual
Enumerated
Jul 18, 2005
Last Updated
Oct 24, 2013

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