STEPHANIE SOOHOO (NPI# 1336462175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336462175 |
| Entity Type | Individual |
| Full Name | STEPHANIE SOOHOO |
| Credential | M.D. |
| Practice Address |
300 Community Dr Dept Of Manhasset NY 11030 |
| Mailing Address |
10 Old Jackson Ave Unit 55 Hastings On Hudson NY 10706-3236 |
| Practice Telephone | 5165624810 |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
245876 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 065103220 | 2036882259 | 2036885599 |
| Street Address |
300 COMMUNITY DR DEPT OF |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619485281 | Gary Yam | Registered Nurse | 300 Community Dr Dept Of, Manhasset, NY 11030 | 2018-01-17 |
| 1982947222 | Daniel Rogel | Anesthesiology | 300 Community Dr Dept Of, Manhasset, NY 11030 | 2013-04-05 |
| 1215279930 | Victor Adam Perkins | Anesthesiology | 300 Community Dr Dept Of, Manhasset, NY 11030-3816 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922361666 | Ana Marija Franceschi | Radiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2012-06-18 |
| 1114283181 | Jonathan Ross Weisiger | Radiology | 300 Community Dr, Manhasset, NY 11030 | 2012-04-04 |
| 1295030229 | Steven Kohn | Radiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2011-01-23 |
| 1467582858 | Karen Black | Radiology | 300 Community Drive, Nsuh-dept. of Radiology, Manhasset, NY 11030 | 2007-03-06 |
| 1750488342 | Priya Shah | Radiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2006-09-17 |
| 1487606265 | Claudia Kirsch | Radiology | 300 Community Dr, Department of Radiology, Manhasset, NY 11030-3816 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568926822 | Frederic A Mendelsohn Neurodiagnostics Inc | Radiology | 30 Seaside Dr, Port Jefferson, NY 11777-1132 | 2019-01-30 |
| 1639580244 | Julian Felder | Radiology | 20 Markwood Rd, Forest Hills, NY 11375-6050 | 2014-05-16 |
| 1982045845 | Reade Andrew De Leacy | Radiology | 1450 Madison Avenue, Box 1136, Klingenstein Clinical Center, 1-north, New York, NY 10029-6574 | 2013-07-08 |
| 1053653733 | Joanne Michelle Rispoli | Radiology | 560 1st Ave # 2, New York, NY 10016-6402 | 2013-03-20 |
| 1619215167 | Asim Maher | Radiology | 8342 241st St, Bellerose, NY 11426 | 2013-01-17 |
| 1568727121 | Akm Ashfaqur Rahman | Radiology | 23 Hadley Ct, Pittsford, NY 14534-2838 | 2012-07-10 |
| 1740554286 | Branch Medical, PC | Radiology | 35 Pinelawn Rd., Suite 112, Melville, NY 11747 | 2012-03-01 |
| 1437426483 | John William Duncan | Radiology | 7 E 14th St Apt 201, New York, NY 10003-3117 | 2011-11-18 |
| 1750685806 | Prachi Dubey | Radiology | 630 W168th Street # 28, New York, NY 10032 | 2011-01-04 |
| 1275850810 | Joseph Dobtsis | Radiology | 1445 Shore Pkwy Apt 4t, Brooklyn, NY 11214-6142 | 2010-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.