Audige, Gerard Sam

Audige, Gerard Sam is an sole proprietor health care provider with primary practice located at 348 Hawthorne Street , Brooklyn NY 11225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Audige, Gerard Sam can be contacted via phone (718) 604-2412.

Contact Information

Primary practice address
348 Hawthorne Street Brooklyn NY 11225
Phone: (718) 604-2412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 153323 New York

Profile Details

NPI number 1487807210
LBN Legal business name Audige, Gerard Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2008
Last updated Oct 24th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487807210 NPPES
New York MEDICAID 01035881

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