MARYANNE YACOUB SOURIAL

BRONX, NY
NPI1417346321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: NY  288330)
Enumeration Date2015-01-15
Last Update Date2019-10-24
Business Address
MARYANNE YACOUB SOURIAL DO
3411 WAYNE AVE APT 5H
BRONX, NY 10467-2539
Phone number: 718-920-5442
Mailing Address
MARYANNE YACOUB SOURIAL DO
39 MEADOW LAKE DR
MAHWAH, NJ 07430-2504
Phone number: 201-888-2698
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