Individual
MR. MAGDI SADEK SOUROUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 NORTH VILLAGE AVENUE, SUITE 208, ROCKVILLE CENTER, NY 11570
(516) 766-1466
(516) 766-7655
Mailing address
2000 NORTH VILLAGE AVENUE, SUITE 208, ROCKVILLE CENTER, NY 11570
(516) 766-1466
(516) 766-7655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
163533
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
163533
NY
207RP1001X
Pulmonary Disease Physician
Primary
163533
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01019158
—
NY
Enumeration date
01/06/2006
Last updated
01/24/2021
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