Individual
DR. GHASSAN JOSEPH SAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37 RESEARCH WAY, EAST SETAUKET, NY 11733
(631) 444-4545
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
210732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01865970
—
NY
01
—
5416621
AETNA
NY
01
—
75L291
EMPIRE BC.BS
NY
Enumeration date
07/18/2006
Last updated
07/08/2007
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