Individual
DR. MARY YOUSSEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
61 N MAPLE AVE STE 304, RIDGEWOOD, NJ 07450-3232
(201) 857-0988
(201) 857-0989
Mailing address
61 N MAPLE AVE STE 304, RIDGEWOOD, NJ 07450-3232
(201) 857-0988
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA11457800
NJ
2084P0800X
Psychiatry Physician
310486
NY
Other
Enumeration date
04/17/2017
Last updated
02/09/2023
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