# SAMUEL G NODELMAN MD PC

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

## Provider details

- **NPI number:** 1275877128
- **Authorized official:** DR. SAMUEL G NODELMAN MD (PRESIDENT)
- **Authorized official phone:** (718) 891-5251

## Contact information

- **Practice address:** 147A W END AVE, BROOKLYN, NY 11235-4808
- **Practice address phone:** (718) 891-5251
- **Practice address fax:** (718) 891-7383
- **Mailing address:** 147A W END AVE, BROOKLYN, NY 11235-4808
- **Mailing address phone:** (718) 891-5251
- **Mailing address fax:** (718) 891-7383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 152116 | NY | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 02/27/2013