Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Thomas Stavro Soussou, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1942839741

Dr. Thomas Stavro Soussou, MD is a Sports Medicine (Orthopaedic Surgery) Physician in New York, New York. Licensed in New Jersey and New York. Registered with an NPI since 2020.

Licensed in
NJ, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

159 E 74th St
New York, NY 10021-3235
Phone: (212) 737-3301
Fax: (212) 734-0407
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Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 335826 (NY)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 25MA12624900 (NJ)

Record details

NPI number1942839741
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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