Individual
DR. GHOUS A. YASIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
277 DIVISION ST, NORTH TONAWANDA, NY 14120-4667
(716) 690-2291
(716) 690-2369
Mailing address
277 DIVISION ST, NORTH TONAWANDA, NY 14120-4667
(716) 690-2291
(716) 690-2369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
212275
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01927971
—
NY
Enumeration date
11/02/2005
Last updated
12/05/2016
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