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General NPI Number Information
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NPI Number | 1134413172
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Entity Type | Individual
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Provider Name | SAMY SAKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 286 S MAIN ST
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City | NEW CITY
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State | NY
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Zip | 10956-3327
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Country | US
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Telephone | 914-236-4121
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Fax | 845-362-8474
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Provider Business Mailing Address
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Address Line | 96 LINWOOD PLZ # 142
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City | FORT LEE
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State | NJ
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Zip | 07024-3701
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Country | US
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Telephone | 917-930-1374
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 27161
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 292054-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 27161
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 2086H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Surgery) Physician
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License Number | 292054
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License Number State | NY
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