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Contact Information

GI S SONG, MD
105 MARYS AVE
KINGSTON, NY12401
 Phone: 845-338-2500
 Fax: 845-338-5616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for GI S SONG · (Male)

NPI # 1114952066
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 05/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 170312-1
  • NY Medicaid 01232508
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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