Provider Demographics
NPI:1053133009
Name:SOMOS HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:SOMOS HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELMONT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-610-8014
Mailing Address - Street 1:571 ACADEMY ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-5105
Mailing Address - Country:US
Mailing Address - Phone:833-766-3622
Mailing Address - Fax:347-825-6928
Practice Address - Street 1:2910 EXTERIOR ST FL 1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-7104
Practice Address - Country:US
Practice Address - Phone:833-766-3622
Practice Address - Fax:347-825-6928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management