Individual
DR. SAM DAVIDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
317 BROADWAY STE A, AMITYVILLE, NY 11701-2709
(631) 598-5864
(631) 598-5866
Mailing address
317 BROADWAY STE A, AMITYVILLE, NY 11701-2709
(631) 598-5864
(631) 598-5866
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
240558
NY
207RP1001X
Pulmonary Disease Physician
Primary
240558
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
240558
NY
Other
Enumeration date
04/03/2008
Last updated
05/09/2013
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