Individual
SAMY FOURATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 DEKALB AVE, BROOKLYN HOSPITAL RADIOLOGY, BROOKLYN, NY 11201-5425
(718) 250-8311
Mailing address
423 E 90TH ST, APT 4F, NEW YORK, NY 10128-4236
(212) 987-0457
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
201278
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01768607
—
NY
Enumeration date
06/23/2006
Last updated
08/30/2013
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