Individual
FARAMARZ SAMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE FL 12, NEW YORK, NY 10032-3729
(212) 342-1321
(212) 305-4571
Mailing address
161 FORT WASHINGTON AVE FL 12, NEW YORK, NY 10032-3729
(212) 342-1321
(212) 305-4571
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
15491
NH
207N00000X
Dermatology Physician
239725
NY
207N00000X
Dermatology Physician
MD431602
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
239725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134996
—
NJ
05
—
101931308
—
PA
05
—
1019789
—
VT
05
—
32001013
—
NH
Enumeration date
06/13/2006
Last updated
03/13/2018
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