Individual
MAMDOU ABOUSAMRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2519 30TH DR STE 1L, ASTORIA, NY 11102-2701
(646) 421-9356
Mailing address
2519 30TH DR STE 1L, ASTORIA, NY 11102-2701
(646) 421-9356
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006502
NY
Other
Enumeration date
05/11/2010
Last updated
12/31/2019
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