Individual
CHRISTOPHER MICHAEL SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
739 IRVING AVE STE 500, SYRACUSE, NY 13210-1664
(914) 438-4252
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(914) 438-4252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
720528-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F344484-1
NY
Other
Enumeration date
06/27/2019
Last updated
03/12/2021
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