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Individual
DR. J. BRIAN SAME
Active
Individual
DR. J. BRIAN SAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
1516221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010155901
UNIVERA
NY
01
—
000502673001
BLUE CROSS/BLUE SHIELD
NY
01
—
0046122
GHI
NY
05
—
01049063
—
NY
01
—
1002486
INDEPENDENT HEALTH
NY
Enumeration date
10/08/2005
Last updated
01/14/2011
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