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MR. JUANITO T SO MD
NPI 1659370146
Internal Medicine - Geriatric Medicine in Amsterdam, NY

Active since July 18, 2005
380 GUY PARK AVE, ST. MARY'S HOSPITAL, FAM HLTH CNTR AT CARONDELET PAVILI, AMSTERDAM, NY 12010(518) 841-7415(518) 841-7422 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Juanito T So Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JUANITO T SO MD (NPI 1659370146) is an individual geriatric medicine provider in Amsterdam, New York, licensed in New York (137258-1) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1659370146
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameMR. JUANITO T SOCredential: MD
Location Address380 GUY PARK AVE, ST. MARY'S HOSPITAL, FAM HLTH CNTR AT CARONDELET PAVILIAmsterdam, NY 12010
Mailing Address427 Guy Park Ave - Primary & Specialty Care Dept., St. Mary's Hospital At AmsterdamAmsterdam, NY 12010 · (518) 841-7430 · Fax (518) 841-7121
Phone(518) 841-7415
Fax(518) 841-7422
Sole ProprietorNo
Enumeration DateJuly 18, 2005
Last NPPES UpdateOctober 24, 2013
✔ NPI 1659370146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in NY · 137258-1
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License 137258/-1 (NY)
380 GUY PARK AVE, Amsterdam, NY 12010
Open in Google Maps ↗

Other Identifiers 5

Other10010372NY · C.d.p.h.p.
Medicaid00462193NY
Other11506NY · M.v.p.
Medicare UPINB882291
Medicare ID-Type Unspecified70033NY

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL ANGELO ROCHET MD
Family Medicine
380 GUY PARK AVE
AMSTERDAM, NY 12010
Montgomery County (518) 841-7415
BARBARA L RIEDE F.N.P.
Nurse Practitioner (Family)
380 GUY PARK AVE, ST. MARY'S HEALTHCARE
AMSTERDAM, NY 12010
Montgomery County (518) 841-7430
MR. MICHAEL J. HARDIES MD
Internal Medicine
380 GUY PARK AVE, ST. MARY'S HOSPITAL, FAM HLTH CNTR AT CARONDELET PAVILI
AMSTERDAM, NY 12010
Montgomery County (518) 841-7415
MS. ERIKA BRITT WACHTMEISTER D.O.
Internal Medicine
380 GUY PARK AVE, ST. MARY'S HOSPITAL, FAM HLTH CNTR @ CARONDELET PAVILIO
AMSTERDAM, NY 12010
Montgomery County (518) 841-7415
MRS. HONG T-L RAPHAEL MD
Family Medicine
380 GUY PARK AVE, ST. MARY'S HOSPITAL, FAM HLTH CNTR @ CARONDELET PAVILIO
AMSTERDAM, NY 12010
Montgomery County (518) 841-7415
ST. MARY'S HEALTHCARE
Internal Medicine
380 GUY PARK AVE
AMSTERDAM, NY 12010
Montgomery County (518) 841-7415
DIANE GAGLIARDI NP
Nurse Practitioner (Adult Health)
380 GUY PARK AVE
AMSTERDAM, NY 12010
Montgomery County (518) 841-7415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juanito So's NPI number?

The NPI number for Juanito So is 1659370146. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Juanito So located?

Juanito So practices at 380 Guy Park Ave St. Mary's Hospital, Fam Hlth Cntr At Carondelet Pavili, Amsterdam, NY 12010. The listed phone number is (518) 841-7415.

What is Juanito So's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Juanito So was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.