Bavli, Samuel

Bavli, Samuel is an sole proprietor health care provider with primary practice located at 327 Beach 19Th St , Far Rockaway NY 11691-4423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Hypertension Specialist. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Bavli, Samuel can be contacted via phone (718) 869-7315.

Contact Information

Primary practice address
327 Beach 19Th St Far Rockaway NY 11691-4423
Phone: (718) 869-7315
Fax: (718) 869-8530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 109310-1 New York
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X 109310 New York

Profile Details

NPI number 1902917776
LBN Legal business name Bavli, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated May 20th, 2013 - about 12 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 1902917776 NPPES
New York MEDICAID 00887018

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