Individual
DR. MICHAEL G SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
185 OLD COUNTRY RD, SUITE 3, RIVERHEAD, NY 11901-2121
(631) 727-2523
(631) 727-7353
Mailing address
185 OLD COUNTRY RD, SUITE 3, RIVERHEAD, NY 11901-2121
(631) 727-2523
(631) 727-7353
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
146289-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00600913
—
NY
Enumeration date
10/24/2006
Last updated
07/08/2007
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