DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SAMIR SAMUEL BOUTROS MD

MEDICARE: DR. SAMIR SAMUEL BOUTROS 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
1207R00000XInternal Medicine Physician004090NY

General Provider Information

NPI Number : 1245595602
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMIR SAMUEL BOUTROS MD
Provider Business Mailing Address
First Line : 13935 COOLIDGE AVE
Second Line :
City : BRIARWOOD
State : NY
Zip : 11435-1118
Country : US
Telephone Number : 718-216-3166
Fax Number : 718-649-7040
Provider Business Practice Location Address
First Line : 2400 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-4830
Country : US
Telephone Number : 718-257-5800
Fax Number : 718-649-7040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2012
Last Update Date : 07/11/2012

Similar Medicare Providers

1447471248 — ALPHA SCHOOL CENTER FOR PROGRESSIVE LIVING, INC.
Practice Location Address:
2400 LINDEN BLVD
BROOKLYN, NY
11208-4830
Practice Phone: 718-257-5800
Practice Fax: 718-649-7040
1275869679 — MS. GIOVANNIE LAROC LCSW
Practice Location Address:
2400 LINDEN BLVD
BROOKLYN, NY
11208-4830
Practice Phone: 718-257-5800
Practice Fax: 845-765-9327
1699094896 — MR. LEE JOSEPH ROSS LCSW
Practice Location Address:
2400 LINDEN BLVD
BROOKLYN, NY
11208-4830
Practice Phone: 718-257-5800
Practice Fax: 845-765-9327
1770915654 — JOHN CHRISTOPHER BARBIERO L.C.S.W
Practice Location Address:
2400 LINDEN BLVD
BROOKLYN, NY
11208-4830
Practice Phone: 718-681-8700
Practice Fax:
1649648551 — RICHARD ANTHONY ROSSI LMSW
Practice Location Address:
2400 LINDEN BLVD
BROOKLYN, NY
11208-4830
Practice Phone: 588-681-8700
Practice Fax: 718-649-7040
1932682838 — SUN RIVER HEALTH INC
Practice Location Address:
2400 LINDEN BOULEVARD , BRIGHTPOINT HEALTH PART 822-4 OUTPATIENT SERVICES
BROOKLYN, NY
11208-4830
Practice Phone: 718-257-5800
Practice Fax: 718-649-7040

Directions to “ DR. SAMIR SAMUEL BOUTROS MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.