Individual provider · Type 1 NPI

Cyrus Eric De Souza, MD

Student in an Organized Health Care Education/Training Program · Cooperstown, NY

NPI number 1043881147 Active

Practice location

1 Atwell Rd
Cooperstown, NY 13326-1301

Call (607) 547-3456 Map

Mailing address

PO Box 725
Cooperstown, NY 13326-0725

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1043881147

Cyrus Eric De Souza, MD's National Provider Identifier is 1043881147, issued on Jul 8, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cooperstown, NY. The record was last updated on Jul 8, 2021.