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1114464153
MICHAEL JOSEPH SOUSA
MANHASSET, NY
NPI
1114464153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 020590)
Enumeration Date
2017-01-29
Last Update Date
2017-01-29
Business Address
Mr. MICHAEL JOSEPH SOUSA PA-C
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-0100
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Mailing Address
Mr. MICHAEL JOSEPH SOUSA PA-C
217 E NASSAU ST
ISLIP TERRACE, NY 11752-3004
Phone number: 631-398-1808
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