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Organization
THE LIGHT MEDICAL, PC
Active
Organization
THE LIGHT MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHRAF SAMAAN MD (OWNER)
(212) 874-3384
Entity
Organization
Contact information
Practice address
254 CANAL ST, SUITE 5001, NEW YORK, NY 10013-3501
(212) 287-3384
(212) 287-0031
Mailing address
15 LEONELLO LANE, STATEN ISLAND, NY 10307-0000
(212) 287-3384
(212) 287-0031
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
221203
NY
Other
Enumeration date
07/20/2011
Last updated
09/21/2011
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