Individual
AHMED ADEL EL SOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 RICHMOND HILL RD, STATEN ISLAND, NY 10314-5906
(718) 761-2800
(718) 494-6829
Mailing address
PO BOX 141280, STATEN ISLAND, NY 10314-1280
(718) 761-2800
(718) 494-6829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60234547
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02636184
—
NY
01
—
04-11110
EVERCARE
—
01
—
7131N
EMPIRE BC/BS
—
Enumeration date
10/26/2005
Last updated
07/08/2007
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