National Provider Identifier
Soon-Il Song, M.D.
Soon-Il Song, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 423-5800.
Profile Overview
- NPI
- 1063464386
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 16, 2006
- Last Updated
- January 11, 2017
Practice Location
- 82 Holland St
- Rochester, NY 14605-2131
Phone: (585) 423-5800
Mailing Address
- 214C Lake Ave
- Rochester, NY 14608-1208
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1063464386
- Entity Type
- Individual
- Last Name
- Song
- First Name
- Soon-Il
- Credential
- M.D.
- Mailing Street Address
- 214C Lake Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-1208
- Mailing Country
- US
- Mailing Phone
- (585) 423-5800
- Mailing Fax
- (585) 423-2890
- Practice Street Address
- 82 Holland St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-2131
- Practice Country
- US
- Practice Phone
- (585) 423-5800
- Practice Fax
- (585) 423-2890
- Enumeration Date
- May 16, 2006
- Last Updated
- January 11, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 03361960 (NY)