Individual
GABRIEL SAMANDAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 UNIVERSITY PL, NEW YORK, NY 10003-4515
(212) 604-1367
Mailing address
95 UNIVERSITY PL, NEW YORK, NY 10003-4515
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0189721
NY
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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