Healthcare Provider Details

I. General information

NPI: 1730882697
Provider Name (Legal Business Name): SAMER NAJEH ABU DAYEH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E MAIN ST
BAY SHORE NY
11706-8408
US

IV. Provider business mailing address

301 E MAIN ST BAY SHORE
BAY SHORE NY
11706-8408
US

V. Phone/Fax

Practice location:
  • Phone: 631-968-3000
  • Fax:
Mailing address:
  • Phone: 631-968-3970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number346039
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: