Abousamra, Mamdou
Abousamra, Mamdou is an sole proprietor health care provider with primary practice located at 2519 30Th Dr Ste 1L , Astoria NY 11102-2701. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Abousamra, Mamdou can be contacted via phone (646) 421-9356.Contact Information
Primary practice address
2519 30Th Dr Ste 1L
Astoria NY 11102-2701
Phone: (646) 421-9356
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | N006502 | New York |
Profile Details
| NPI number | 1700104056 |
|---|---|
| LBN Legal business name | Abousamra, Mamdou |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2010 |
| Last updated | Dec 31st, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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