| Samson Medical Pc | |
|
545 Central Ave Cedarhurst NY 11516-2144 | |
| (516) 791-7400 | |
| (516) 791-7755 |
| Full Name | Samson Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 545 Central Ave, Cedarhurst, New York |
| Authorized Official Name and Position | Israel M Samson (PRESIDENT) |
| Authorized Official Contact | 5167917400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samson Medical Pc 545 Central Ave Cedarhurst NY 11516-2144 Ph: (516) 791-7400 | Samson Medical Pc 545 Central Ave Cedarhurst NY 11516-2144 Ph: (516) 791-7400 |
| NPI Number | 1346336161 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 10/15/2021 |
| Medicare PECOS PAC ID | 0446265375 |
|---|---|
| Medicare Enrollment ID | O20060215000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346336161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 193386 (New York) | Primary |
| Provider Name | Israel M Samson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770533572 PECOS PAC ID: 8123033958 Enrollment ID: I20060221000529 |
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