Individual
MR. SOULEYMANE SOUKOUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 6000, BINGHAMTON, NY 13902-6000
(607) 477-4954
Mailing address
4236 BALCOM RD, CAMPBELL, NY 14821-9550
(607) 483-3125
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
612429
NY
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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