Organization
GINA SAM MD MPH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SAM MD (OWNER)
(648) 877-3220
Entity
Organization
Contact information
Practice address
800 2ND AVE, NEW YORK, NY 10017-4709
(648) 877-3220
(516) 706-2150
Mailing address
800 2ND AVE, NEW YORK, NY 10017-4709
(648) 877-3220
(516) 706-2150
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
240112
NY
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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