MARYANNE YACOUB SOURIAL


Address: 3411 Wayne Ave Apt 5h, Bronx, NY 10467-2539
Phone: 7189205442

MARYANNE YACOUB SOURIAL (NPI# 1417346321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417346321
Entity Type Individual
Full Name MARYANNE YACOUB SOURIAL
Credential DO
Practice Address 3411 Wayne Ave Apt 5h
Bronx
NY 10467-2539
Mailing Address 39 Meadow Lake Dr
Mahwah
NJ 07430-2504
Practice Telephone 7189205442
Mailing Telephone 2018882698
Enumeration Date 2015-01-15
Last Update Date 2019-10-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
288330 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Medical Center Dr, Suite 162, Stratford, NJ 080841500 8565666708

Office Location

Street Address 3411 WAYNE AVE APT 5H
City BRONX
State NY
Zip Code 10467-2539

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535505 Maxwell Ennist Massage Therapist 210 Bedford Park Blvd, Bronx, NY 10467 2020-10-09
1144854431 Ny Metro Dental, PC Dentist 55 Mosholu Parkway North, Bronx, NY 10467 2020-02-26
1386277960 Rhonda Ellen Nayberg Occupational Therapist Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 2020-02-21
1013568153 Jaime Luis Betancourt Nurse Practitioner Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 2019-09-20
1023662616 Bronx Jewish Community Council Home Attendant Services Home Health 2930 Wallace Ave., Bronx, NY 10467 2019-07-31
1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
Find all providers in zip 10467

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437563137 Bessy Suyin Flores Chang Internal Medicine 4422 3rd Ave Bldg 3, Bronx, NY 10457-2545 2014-06-20
1417225319 Pablo Loarte Campos Internal Medicine 111 E 210th St Fl C2, Bronx, NY 10467-2401 2011-12-06
1437312758 Bashar Ericsoossi Internal Medicine 1733 Eastchester Rd Ste 2, Bronx, NY 10461-2315 2008-07-07
1558532242 Medical Diagnostic Nephrology, PC Internal Medicine 2409 Barker Ave, Bronx, NY 10467-7601 2008-03-20
1750460960 Joseph Bonanno Internal Medicine 3481 E Tremont Ave, Bronx, NY 10465-2016 2006-11-06
1144310855 Robert E Feingold Internal Medicine Mmc - Dept. of Nephrology, 111 East 210th Street, Bronx, NY 10467 2006-10-13
1659304756 Ritesh Raichoudhury Internal Medicine 1874 Pelham Pkwy S Apt Lr, Bronx, NY 10461-3749 2006-07-09
1629000948 Mario A Henriquez Internal Medicine 2452 Bronx Park E, Bronx, NY 10467-7503 2006-07-07
1295711950 Robert Chiles Alvis Internal Medicine 3468 Park Avenue, Bronx, NY 10456 2005-12-15
1053311209 Maureen Brogan Internal Medicine 3400 Bainbridge Ave Fl 2, Bronx, NY 10467-2404 2005-07-29
Find all providers in BRONX

Competitor

Search similar providers

City BRONX
Zip Code 10467

Improve Information

Please comment or provide details below to improve the information on MARYANNE YACOUB SOURIAL.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches