Individual
DR. SAMUEL PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 873-1246
Mailing address
600 NORTHERN BLVD, GREAT NECK, NY 11021-5200
(516) 465-8400
(516) 465-8412
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
099520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/21/2006
Last updated
07/08/2007
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