# SPRINGFIELD GARDENS ENDOSCOPY ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174029953
- **Authorized official:** ASHRAF SAMAAN MD (OWNER)
- **Authorized official phone:** (718) 672-2824

## Contact information

- **Practice address:** 13421 SPRINGFIELD BLVD, SPRINGFIELD GARDENS, NY 11413-1448
- **Practice address phone:** (718) 672-2824
- **Practice address fax:** (718) 672-4251
- **Mailing address:** 15 LEONELLO LN, STATEN ISLAND, NY 10307-2412
- **Mailing address phone:** (718) 672-2824
- **Mailing address fax:** (718) 672-4251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2018
- **Last updated:** 04/02/2018