Individual
XAVIER JIMENEZ SAMAYOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-2746
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
312823
NY
208M00000X
Hospitalist Physician
MD462190
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
04/19/2022
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