Healthcare Provider Details

I. General information

NPI: 1164463733
Provider Name (Legal Business Name): BENJAMIN SAMSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 YORK AVE 9TH FLOOR
NEW YORK NY
10065
US

IV. Provider business mailing address

525 E 68TH ST
NEW YORK NY
10065-4870
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2127
  • Fax:
Mailing address:
  • Phone: 212-746-2127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number2213601
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: