Provider Demographics
NPI:1003508698
Name:SOHA PEDIATRICS, LLC
Entity Type:Organization
Organization Name:SOHA PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEFINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-275-5051
Mailing Address - Street 1:163 SAINT NICHOLAS AVE # CF-B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-1212
Mailing Address - Country:US
Mailing Address - Phone:646-588-1229
Mailing Address - Fax:646-536-2597
Practice Address - Street 1:163 SAINT NICHOLAS AVE # CF-B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-1212
Practice Address - Country:US
Practice Address - Phone:646-588-1229
Practice Address - Fax:646-536-2597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty