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Individual

CARLA IUDICA-SOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5B MEDICAL PARK DR, POMONA, NY 10970-3516
(845) 362-3111
(845) 362-3198
Mailing address
5B MEDICAL PARK DR, POMONA, NY 10970-3516
(845) 362-3111
(845) 362-3198

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
230459
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518051820
NPI
NY
01
1598934200
GROUP NPI
NY
05
2614304
NY
Enumeration date
10/03/2006
Last updated
04/17/2008
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