Individual
DR. MARISE DIONE D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 654-2487
Mailing address
64 STEPHEN DR, PLEASANTVILLE, NY 10570-1824
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
253626
NY
2080P0202X
Pediatric Cardiology Physician
Primary
253626
NY
2080P0202X
Pediatric Cardiology Physician
76597
CT
Other
Enumeration date
08/22/2009
Last updated
01/25/2024
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