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Individual

DR. SAMUEL DAVIDOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10816 72ND AVE, 2 FLOOR, FOREST HILLS, NY 11375-5350
(718) 261-0900
(718) 261-0944
Mailing address
10816 72ND AVE, 2 FLOOR, FOREST HILLS, NY 11375-5350
(718) 261-0900
(718) 261-0944

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
229243
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0299382
NY
01
1427214949
GASTROENTEROLOGY
NY
Enumeration date
05/30/2006
Last updated
10/12/2012
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