Individual
AMY A SOUSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
396 BROADWAY, MID HUDSON PHYSICIANS, PC, KINGSTON, NY 12401-4626
(845) 331-3131
(845) 334-2898
Mailing address
396 BROADWAY, MID HUDSON PHYSICIANS, PC, KINGSTON, NY 12401-4626
(845) 331-3131
(845) 334-2898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60-282228
NY
Other
Enumeration date
04/12/2012
Last updated
11/11/2015
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