MEDICARE: NEDAL ZAHI SAMARNEH 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
1	207R00000X	Internal Medicine Physician	200002	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1336250927	OTHER	NY	INDIVIDUAL NPI
3	1851499206	OTHER	NY	GROUP NPI

General Provider Information

NPI Number	:	1336250927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEDAL ZAHI SAMARNEH MD

Provider Business Mailing Address
First Line	:	609 SOUNDVIEW AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-2945
Country	:	US
Telephone Number	:	718-991-7330
Fax Number	:	718-328-1944

Provider Business Practice Location Address
First Line	:	609 SOUNDVIEW AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-2945
Country	:	US
Telephone Number	:	718-991-7330
Fax Number	:	718-328-1944

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/23/2018

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