Individual
DR. REZA N SAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
(212) 241-6500
Mailing address
1 GUSTAVE L. LEVY PLACE, BOX 1264, NEW YORK, NY 10029-6504
(212) 241-6500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10221400
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA10221400
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
260010
NY
207RP1001X
Pulmonary Disease Physician
25MA10221400
NJ
207RP1001X
Pulmonary Disease Physician
260010
NY
2084A2900X
Neurocritical Care Physician
Primary
260010
NY
Other
Enumeration date
03/31/2009
Last updated
10/23/2024
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