Individual
DR. ANTONI D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5604 202ND ST, OAKLAND GARDENS, NY 11364-1629
(917) 873-9674
Mailing address
5604 202ND ST, OAKLAND GARDENS, NY 11364-1629
(917) 873-9674
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
219321
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
219321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02109442
—
NY
Enumeration date
09/20/2006
Last updated
09/15/2021
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