| Samuel Bavli, MD | |
|
327 Beach 19th St Department Of Medicine Far Rockaway NY 11691-4423 | |
| (718) 869-7315 | |
| Not Available |
| Full Name | Samuel Bavli, MD |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 327 Beach 19th St, Far Rockaway, New York |
| Authorized Official Name and Position | Samuel Bavli (OWNER) |
| Authorized Official Contact | 7188697315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Bavli, MD 327 Beach 19th St Department Of Medicine Far Rockaway NY 11691-4423 | Samuel Bavli, MD 327 Beach 19th St Department Of Medicine Far Rockaway NY 11691-4423 Ph: (718) 869-7315 |
| NPI Number | 1194952986 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 06/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194952986 | NPI | - | NPPES |
| 00887018 | Medicaid | NY | |
| 06060 | Other | NY | GHI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 109310-1 (New York) | Primary |
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