Individual
SAMUEL HOPKINS BRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 50TH AVE, LONG ISLAND CITY, NY 11101-5967
(718) 472-5900
Mailing address
535 50TH AVE, LONG ISLAND CITY, NY 11101-5967
(718) 472-5900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27904
NY
208600000X
Surgery Physician
Primary
27904-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27904
LICENSE
NY
Enumeration date
03/04/2010
Last updated
10/11/2022
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