Individual
SAMI NATHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6352 WOODHAVEN BLVD, REGO PARK, NY 11374
(718) 458-6012
(718) 529-5930
Mailing address
6352 WOODHAVEN BLVD, REGO PARK, NY 11374
(718) 458-6012
(718) 529-5930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
153485
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00758310
—
NY
Enumeration date
05/04/2006
Last updated
07/08/2007
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