De Souza, Nastassia

De Souza, Nastassia is an individual health care provider with primary practice located at 515 Bellport Ave , Bellport NY 11713-1711. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. De Souza, Nastassia can be contacted via phone (631) 288-7120.

Contact Information

Primary practice address
515 Bellport Ave Bellport NY 11713-1711
Phone: (631) 288-7120
Fax: (929) 455-9423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT209620 Pennsylvania
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 323186 New York

Profile Details

NPI number 1891178836
LBN Legal business name De Souza, Nastassia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2015
Last updated Sep 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891178836 NPPES
Pennsylvania MEDICAID 103292986

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