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Dr. Cyrus Eric De Souza, MD
Student in an Organized Health Care Education/Training Program in Cooperstown, New York
NPI 1043881147

Cyrus Eric De Souza is a Student in an Organized Health Care Education/Training Program based in Cooperstown, NY. Cyrus Eric De Souza practices in Cooperstown, NY and has the professional credentials of MD. The NPI Number for Cyrus Eric De Souza is 1043881147 and holds a License No. (New York).

The current practice location address for Cyrus Eric De Souza is 1 Atwell Rd, Cooperstown, NY and can be reached out via phone at 607-547-3456.

Location: 1 Atwell Rd, Cooperstown, NY, 13326-0725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043881147
Provider Name
Cyrus Eric De Souza
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Atwell Rd, Cooperstown, NY, 13326-0725
Phone Number
607-547-3456
Fax Number
Provider Enumeration Date
07/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Atwell Rd
City
Cooperstown
State
New York
Zip
13326-1301
Phone Number
607-547-3456
Fax Number
person
Provider Business Mailing Address Details
Address
1 Atwell Rd
City
Cooperstown
State
New York
Zip
13326-1301
Phone Number
607-547-3456
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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