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Physician Compare National (NPI:1588719538)

HEALTHCARE PROVIDER: SAMUEL ARCE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1588719538
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1456443209
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070823000901
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ARCE
Individual professional last name
Provider First Name SAMUEL
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 8906 135TH ST
Group Practice or individual's line 1 address
Line 2 Street Address 5T
Group Practice or individual's line 2 address
City JAMAICA
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 114182821
Group Practice or individual's zip code (9 digits when available)
Phone Number 7186583755
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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