Nsouli, Imad S
Nsouli, Imad S is an individual health care provider with primary practice located at 800 Irving Ave , Syracuse NY 13210-2716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Nsouli, Imad S can be contacted via phone (315) 425-2636.Contact Information
Primary practice address
800 Irving Ave
Syracuse NY 13210-2716
Phone: (315) 425-2636
Fax: (315) 425-2639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 148367-1 | New York |
Profile Details
| NPI number | 1396780243 |
|---|---|
| LBN Legal business name | Nsouli, Imad S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Oct 21st, 2010 - about 14 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396780243 | NPPES |
| New York | MEDICAID | 02891427 |
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