Individual
SAMUEL THAMPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 WALT WHITMAN RD, STE-100, HUNTINGTON STATION, NY 11746-3640
(631) 470-2021
(631) 207-8567
Mailing address
14 BELAIR DR, OLD BETHPAGE, NY 11804-1445
(516) 382-7808
(631) 207-8567
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
220673
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
220673
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02316865
—
NY
Enumeration date
06/15/2005
Last updated
12/12/2012
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