Individual
TAHSEEN SAMDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
(716) 875-6717
Mailing address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
(810) 733-0235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2119
WI
363AM0700X
Medical Physician Assistant
Primary
022045
NY
363AM0700X
Medical Physician Assistant
5601004947
MI
Other
Enumeration date
07/24/2007
Last updated
08/23/2019
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