Individual
MARK M SOUWEIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST, BOX 99, NEW YORK, NY 10021-4870
(212) 746-2363
(212) 746-5592
Mailing address
525 E 68TH ST, BOX 99, NEW YORK, NY 10021-4870
(212) 746-2363
(212) 746-7729
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
188037
NY
Other
Enumeration date
12/06/2005
Last updated
07/09/2015
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