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NPI Code Detail

MEDICARE: SAMUEL W S'DOIA MD

MEDICARE:   SAMUEL W S'DOIA  MD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician255789NY

Other Identifiers

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

General Provider Information

NPI Number : 1235146879
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL W S'DOIA MD
Provider Business Mailing Address
First Line : 199 PARK CLUB LN
Second Line : SUITE 300
City : WILLIAMSVILLE
State : NY
Zip : 14221-5269
Country : US
Telephone Number : 716-836-4646
Fax Number : 716-836-4696
Provider Business Practice Location Address
First Line : 199 PARK CLUB LN
Second Line : SUITE 300
City : WILLIAMSVILLE
State : NY
Zip : 14221-5269
Country : US
Telephone Number : 716-836-4646
Fax Number : 716-836-4696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 07/20/2015

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Directions to “ SAMUEL W S'DOIA MD” Practice Location

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