Individual
CLIFFORD B SOULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
739 IRVING AVE STE 600, SYRACUSE, NY 13210-1663
(315) 701-2550
(315) 701-2551
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 701-2550
(315) 701-2551
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
218599
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02107808
—
NY
Enumeration date
08/16/2005
Last updated
03/12/2021
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