| Mr Juanito T So, MD | |
|
380 Guy Park Ave, St. Mary's Hospital, Fam Hlth Cntr At Carondelet Pavili, Amsterdam, NY 12010 | |
| (518) 841-7415 | |
| (518) 841-7422 |
| Full Name | Mr Juanito T So |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 380 Guy Park Ave, Amsterdam, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659370146 | NPI | - | NPPES |
| 10010372 | Other | NY | C.D.P.H.P. |
| 00462193 | Medicaid | NY | |
| 11506 | Other | NY | M.V.P. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 137258/-1 (New York) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 137258-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Juanito T So, MD 427 Guy Park Ave - Primary & Specialty Care Dept., St. Mary's Hospital At Amsterdam, Amsterdam, NY 12010 Ph: (518) 841-7430 | Mr Juanito T So, MD 380 Guy Park Ave, St. Mary's Hospital, Fam Hlth Cntr At Carondelet Pavili, Amsterdam, NY 12010 Ph: (518) 841-7415 |
Nancy S Knudsen, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 427 Guy Park Ave, St Marys Hospital, Amsterdam, NY 12010 Phone: 518-842-1900 Fax: 518-841-7131 | |
Dr. Deborah A Sculco, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4950 State Highway 30, Cancer Medicine Center, Amsterdam, NY 12010 Phone: 518-770-7557 Fax: 518-770-7558 | |
Dr. Soo Gil Lee, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5010 St Hwy 30, Ste 201, Amsterdam, NY 12010 Phone: 518-842-7161 Fax: 518-842-0797 | |
Karen Tedesco, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Riverfront Ctr, Amsterdam, NY 12010 Phone: 518-843-0020 Fax: 518-843-0023 | |
Dr. Michael Finnegan, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 Guy Park Ave, Suite 102, Amsterdam, NY 12010 Phone: 518-843-1240 | |
Jay Zimmerman, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 425 Guy Park Ave, Suite 102, Amsterdam, NY 12010 Phone: 518-843-1240 Fax: 518-843-0753 | |
Robert H Goslin, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1700 Riverfront Ctr, Amsterdam, NY 12010 Phone: 518-843-0020 Fax: 518-843-0023 |