Provider Demographics
NPI:1316182306
Name:SOHN, JUN
Entity Type:Individual
Prefix:
First Name:JUN
Middle Name:
Last Name:SOHN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 MILBURN ST
Mailing Address - Street 2:2109
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3409
Mailing Address - Country:US
Mailing Address - Phone:646-242-4467
Mailing Address - Fax:
Practice Address - Street 1:44 MILBURN ST
Practice Address - Street 2:2109
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3409
Practice Address - Country:US
Practice Address - Phone:646-242-4467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program