Organization
MED-PSYCH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAD E. NAMIN M.D. (PRESIDENT)
(914) 202-4949
Entity
Organization
Contact information
Practice address
ONE GATE WAY PLAZA, 3RD FLOOR, PORT CHESTER, NY 10573
(914) 202-4949
Mailing address
43 HIGH POINT CIR, RYE BROOK, NY 10573-1092
(914) 202-4949
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
209565
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02243456
—
NY
Enumeration date
12/08/2005
Last updated
08/22/2020
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