Provider Demographics
NPI:1023147691
Name:SOUED, STEVEN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:SOUED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MRS
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:MARKINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE
Mailing Address - Street 1:240 E 47TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2131
Mailing Address - Country:US
Mailing Address - Phone:212-583-0837
Mailing Address - Fax:212-836-5539
Practice Address - Street 1:9823 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-8103
Practice Address - Country:US
Practice Address - Phone:718-439-5106
Practice Address - Fax:718-836-2884
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184759207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1479187OtherUNITHEDHEATHCARE
NY84759OtherHIP
NY3C0219OtherHEALTHNET
NY55H851OtherBCBS
NY43127NOtherCIGNA
NY2504882OtherGHI
NY33165OtherNYLCARE
NY01517202Medicaid
NYOP253OtherOXFORD
NY84759OtherHIP
NY1479187OtherUNITHEDHEATHCARE