Individual
DR. SAMMY DANIEL PISHANIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1512
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1512
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
284204
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04844877
—
NY
Enumeration date
03/12/2013
Last updated
03/17/2018
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