Individual
DR. FARAJ SAMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
358 KINGSTON AVE, BROOKLYN, NY 11213-4332
(718) 778-7272
Mailing address
358 KINGSTON AVE, BROOKLYN, NY 11213-4332
(718) 778-7272
(718) 773-4583
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
259836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346403839
—
NY
Enumeration date
07/06/2008
Last updated
07/10/2013
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