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Individual

DR. GHASSAN JAMIL KOUSSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 SENECA ST, ONEIDA, NY 13421-2668
(315) 361-7472
(315) 361-7473
Mailing address
600 SENECA ST, ONEIDA, NY 13421-2668
(315) 361-7472
(315) 361-7473

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
16076
NH
207RP1001X
Pulmonary Disease Physician
16076
NH
207RP1001X
Pulmonary Disease Physician
Primary
T9727
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04598138
NY
Enumeration date
06/25/2008
Last updated
11/01/2022
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