Individual
SAMANTHA NAZARETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10840 QUEENS BLVD, FOREST HILLS, NY 11375-5361
(718) 459-8460
Mailing address
10840 QUEENS BLVD, BOX 130, FOREST HILLS, NY 11375-5361
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
258328
NY
Other
Enumeration date
06/05/2008
Last updated
07/07/2016
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