Individual
DIAS SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6622
Mailing address
33 LEWIS RD, BINGHAMTON, NY 13905-1048
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
305645
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
07/01/2020
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