Individual
DR. SAMUEL BENJAMIN GOLUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1661 MADISON ST, ELMONT, NY 11003-4425
(516) 561-6065
Mailing address
1661 MADISON ST, ELMONT, NY 11003-4425
(516) 561-6065
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
168860
NY
Other
Enumeration date
04/25/2010
Last updated
04/25/2010
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