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Individual

DR. ABDALLA MOHAMED YOUSIF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-5240
(315) 464-3757
Mailing address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-5240
(315) 464-3757

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07938000
NJ
207R00000X
Internal Medicine Physician
Primary
292344
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0077496
NJ
05
02917302
NY
01
P00773568
RR MEDICARE
NJ
Enumeration date
09/02/2006
Last updated
03/07/2023
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