Provider Demographics
NPI:1336212166
Name:SOHO OBSTETRICS & GYNECOLOGY PC
Entity Type:Organization
Organization Name:SOHO OBSTETRICS & GYNECOLOGY PC
Other - Org Name:SOHO OBGYN PC
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:COADY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-941-0011
Mailing Address - Street 1:430 WEST BROADWAY
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012
Mailing Address - Country:US
Mailing Address - Phone:212-941-0011
Mailing Address - Fax:212-941-5977
Practice Address - Street 1:430 WEST BROADWAY
Practice Address - Street 2:2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012
Practice Address - Country:US
Practice Address - Phone:212-941-0011
Practice Address - Fax:212-941-5977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty