Healthcare Provider Details

I. General information

NPI: 1275562365
Provider Name (Legal Business Name): ANDREW SAMA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 E 72ND ST
NEW YORK NY
10021-4099
US

IV. Provider business mailing address

535 E 70TH ST
NEW YORK NY
10021-4872
US

V. Phone/Fax

Practice location:
  • Phone: 212-606-1122
  • Fax:
Mailing address:
  • Phone: 212-606-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number216890
License Number StateNY

VIII. Authorized Official

Name: ANDREW A SAMA
Title or Position: PRESIDENT
Credential: MD
Phone: 212-606-1122