Provider Demographics
NPI:1215056403
Name:KATES & SOOHOO, M.D. P.C.
Entity type:Organization
Organization Name:KATES & SOOHOO, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:KATES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-636-0104
Mailing Address - Street 1:26 BURLING LN
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5604
Mailing Address - Country:US
Mailing Address - Phone:914-636-0104
Mailing Address - Fax:914-636-0036
Practice Address - Street 1:26 BURLING LN
Practice Address - Street 2:FLOOR 2
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5604
Practice Address - Country:US
Practice Address - Phone:914-636-0104
Practice Address - Fax:914-636-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174209-1207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty