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General NPI Number Information
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NPI Number | 1073726600
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Entity Type | Organization
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Legal Business Name | DAVID B SAMADI MD PC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 E 98TH ST
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City | NEW YORK
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State | NY
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Zip | 10029-6501
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Country | US
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Telephone | 914-366-6161
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Fax | 914-366-6101
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Provider Business Mailing Address
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Address Line | 303 S BROADWAY SUITE 103
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City | TARRYTOWN
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State | NY
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Zip | 10591-5413
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Country | US
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Telephone | 914-366-6161
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Fax | 914-366-6101
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Authorized Official
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Title or Position | MD
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Name | DAVID B SAMADI
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Credential | MD
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Telephone | 914-366-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 208749
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License Number State | NY
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