Individual
DR. EMANA BARSOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
760 BROADWAY, 3A-30, BROOKLYN, NY 11206-5317
(718) 963-8496
(718) 963-8501
Mailing address
4 CRAPE MYRTLE DR, HOLMDEL, NJ 07733-1529
(732) 335-3661
(732) 335-3662
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
191692
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191692
NYS LICENSE
NY
Enumeration date
01/12/2007
Last updated
07/08/2007
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