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Organization

PARK EAST MEDICAL PULMONARY MEDICINE AND CRITICAL CARE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NOUHAD H SAMAHA SR. CHIEF EXECUTIVE (OFFICER)
(212) 734-4484
Entity
Organization

Contact information

Practice address
54 EAST 82ND STREET, NEW YORK, NY 10028-0305
(212) 734-4484
(212) 734-4486
Mailing address
230 EAST 52ND STREET, #2D, NEW YORK, NY 10022-6208
(212) 734-4484
(212) 734-4486

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
205745
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
205745
NY
207RP1001X
Pulmonary Disease Physician
Primary
205745
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE3422
RAILROAD
NY
01
P00286717/DE3422
RAILROAD PIN/GRP
NY
Enumeration date
01/26/2007
Last updated
12/07/2015
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