Provider Demographics
NPI:1558314740
Name:SOUSA, VICTOR O (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:O
Last Name:SOUSA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:130 LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-1302
Mailing Address - Country:US
Mailing Address - Phone:845-831-2000
Mailing Address - Fax:845-838-5184
Practice Address - Street 1:VA HUDSON VALLEY HCS
Practice Address - Street 2:ROUTE 9D
Practice Address - City:CASTLE POINT
Practice Address - State:NY
Practice Address - Zip Code:12511
Practice Address - Country:US
Practice Address - Phone:845-831-2000
Practice Address - Fax:845-838-5184
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2008-12-02
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Provider Licenses
StateLicense IDTaxonomies
NY105015207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine