MEDICARE: SAMANTHA M PFEIFER MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	MD042192E	PA
2	207V00000X	Obstetrics & Gynecology Physician	MD042192E	PA
3	207VE0102X	Reproductive Endocrinology Physician	267417	NY

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1124053087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA M PFEIFER MD

Provider Business Mailing Address
First Line	:	3701 MARKET ST
Second Line	:	STE.800
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-5502
Country	:	US
Telephone Number	:	215-662-6315
Fax Number	:	215-349-5512

Provider Business Practice Location Address
First Line	:	40 WORTH ST
Second Line	:	4TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10013-2904
Country	:	US
Telephone Number	:	646-962-2764
Fax Number	:	646-962-0325

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	10/31/2013

40 WORTH ST , SUITE 402
NEW YORK, NY
10013-2904

Practice Phone: 646-962-3400
Practice Fax: 646-588-2661

220 CHURCH ST , 5TH FLOOR
NEW YORK, NY
10013-2904