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Individual

DR. BRENT SAMTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4100
Mailing address
PO BOX 926, ELMIRA, NY 14902-0926
(607) 733-3639
(607) 733-1292

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
181228
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
181228
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01182865
NY
Enumeration date
11/28/2005
Last updated
11/14/2008
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