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Individual
DR. STEVEN TSOUTSOURAS
Active
Individual
DR. STEVEN TSOUTSOURAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
141825
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00609141
—
NY
01
—
1714*01
IMMUNIZATION REGISTRY
NY
01
—
204722183
TAX ID#
NY
Enumeration date
03/31/2006
Last updated
07/08/2007
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