| Sae Ryoung Song, M.d., P.a. | |
|
6245 State Road 54 New Port Richey FL 34653-6006 | |
| (727) 846-9496 | |
| (727) 849-8410 |
| Full Name | Sae Ryoung Song, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6245 State Road 54, New Port Richey, Florida |
| Authorized Official Name and Position | Sae R Song (PSYCHIATRIST/OWNER) |
| Authorized Official Contact | 7278469496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sae Ryoung Song, M.d., P.a. 6245 State Road 54 New Port Richey FL 34653-6006 Ph: (727) 846-9496 | Sae Ryoung Song, M.d., P.a. 6245 State Road 54 New Port Richey FL 34653-6006 Ph: (727) 846-9496 |
| NPI Number | 1659646354 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659646354 | NPI | - | NPPES |
| 045480000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0029968 (Florida) | Primary |
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