Individual
SAMIR SARKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13420 JAMAICA AVE, JAMAICA, NY 11418-2619
(718) 206-6742
(718) 206-6905
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-8354
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
219000
NY
207RP1001X
Pulmonary Disease Physician
Primary
219000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02105659
—
NY
Enumeration date
03/28/2006
Last updated
01/17/2013
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