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NPI Code Detail

MEDICARE: SAMUEL EPHRAIM BOOK, MD, FAAD, PLLC

MEDICARE: SAMUEL EPHRAIM BOOK, MD, FAAD, PLLC
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
1207ND0101XMOHS-Micrographic Surgery Physician211008NY
2207NS0135XProcedural Dermatology Physician211008NY
3207N00000XDermatology Physician211008NY

General Provider Information

NPI Number : 1285910927
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMUEL EPHRAIM BOOK, MD, FAAD, PLLC
Provider Business Mailing Address
First Line : 575 HUDSON VALLEY AVE STE 205
Second Line :
City : NEW WINDSOR
State : NY
Zip : 12553-4746
Country : US
Telephone Number : 845-220-2200
Fax Number : 845-220-2249
Provider Business Practice Location Address
First Line : 575 HUDSON VALLEY AVE STE 205
Second Line :
City : NEW WINDSOR
State : NY
Zip : 12553-4746
Country : US
Telephone Number : 845-220-2200
Fax Number : 845-220-2249
Authorized Official
Title or Position : OWNER
Name : SAMUEL EPHRAIM BOOK
Credential : M.D.
Telephone Number : 845-220-2200
Provider Enumeration Date : 10/26/2011
Last Update Date : 09/09/2016

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