Provider Demographics
NPI:1063005544
Name:SOMA PT LLC
Entity Type:Organization
Organization Name:SOMA PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERNE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-740-6311
Mailing Address - Street 1:45 BAY 47TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-5697
Mailing Address - Country:US
Mailing Address - Phone:347-449-0887
Mailing Address - Fax:
Practice Address - Street 1:45 BAY 47TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-5697
Practice Address - Country:US
Practice Address - Phone:917-740-6311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy