Individual
MR. SAMUEL ALFRED SHAHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., PA-C
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
515 LINDBERG AVE, CLIFFSIDE PARK, NJ 07010-2203
(201) 840-9654
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014108
NY
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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