Individual
DR. SAMIR A. FAHMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, SUITE A, BROOKLYN, NY 11203-2056
(718) 270-1821
(718) 270-1733
Mailing address
450 CLARKSON AVE, BOX 1262, BROOKLYN, NY 11203-2056
(718) 270-8867
(718) 270-1794
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
212030-1
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA05881300
NJ
207RP1001X
Pulmonary Disease Physician
212030-1
NY
207RP1001X
Pulmonary Disease Physician
25MA05881300
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
212030-1
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MA05881300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02006366
—
NY
05
—
6240607
—
NJ
Enumeration date
09/08/2005
Last updated
05/15/2008
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