Kap Soo Sohn | New York, NY • PECOS Search

Kap Soo Sohn

Pharmacist

Pharmacy Service Providers

4157 Broadway, New York, NY 10033-3702

(212) 568-2960 (201) 750-0884

PECOS Enrollment

Based on the most recent information from CMS, provider Kap Soo Sohn does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1780790048
Provider Type
Individual
Full Name
Sohn, Kap Soo
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/21/2006
Last Updated
7/8/2007

Contact Information

Practice Location

4157 Broadway, New York, NY 10033-3702

(212) 568-2960

Mailing Location

220 Beech Ct, Norwood, NJ 07648-2006

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 030607 New York