Sousou, Tarek J

Sousou, Tarek J is an individual health care provider with primary practice located at 5008 Brittonfield Pkwy , East Syracuse NY 13057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Sousou, Tarek J can be contacted via phone (315) 472-7504.

Contact Information

Primary practice address
5008 Brittonfield Pkwy East Syracuse NY 13057
Phone: (315) 472-7504
Fax: (315) 479-8639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 243609-1 New York

Profile Details

NPI number 1588776264
LBN Legal business name Sousou, Tarek J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 3rd, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588776264 NPPES
New York MEDICAID 03318572

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