Individual
ANTHONY J SOUSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 CLINTON AVE S, BUILDING H SUITE 230, ROCHESTER, NY 14618-2668
(585) 341-7200
(585) 341-6051
Mailing address
601 ELMWOOD AVE, BOX 278980, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02575506
—
NY
Enumeration date
07/31/2006
Last updated
07/05/2023
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