Davidoff, Samuel

Davidoff, Samuel is an individual health care provider with primary practice located at 10816 72Nd Ave 2 Floor, Forest Hills NY 11375-5350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Davidoff, Samuel can be contacted via phone (718) 261-0900.

Contact Information

Primary practice address
10816 72Nd Ave 2 Floor Forest Hills NY 11375-5350
Phone: (718) 261-0900
Fax: (718) 261-0944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 229243 New York

Profile Details

NPI number 1922055276
LBN Legal business name Davidoff, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Oct 12th, 2012 - about 13 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 1922055276 NPPES
New York Other 1427214949 GASTROENTEROLOGY
New York MEDICAID 0299382 GASTROENTEROLOGY

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