Provider Demographics
NPI:1497184568
Name:SOHO MEDICAL DOCTORS, PLLC
Entity Type:Organization
Organization Name:SOHO MEDICAL DOCTORS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUES
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSPITRE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:212-369-6757
Mailing Address - Street 1:104 W 40TH ST RM 500
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-3770
Mailing Address - Country:US
Mailing Address - Phone:212-369-6757
Mailing Address - Fax:212-369-3941
Practice Address - Street 1:104 W 40TH ST RM 500
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-3770
Practice Address - Country:US
Practice Address - Phone:212-369-6757
Practice Address - Fax:212-369-3941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2281712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty