Eldeiry, Samer Subhi

Eldeiry, Samer Subhi is an individual health care provider with primary practice located at 1365 Washington Ave Ste 300, Albany NY 12206-1098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Eldeiry, Samer Subhi can be contacted via phone (518) 489-4704.

Contact Information

Primary practice address
1365 Washington Ave Ste 300 Albany NY 12206-1098
Phone: (518) 489-4704
Fax: (518) 489-0512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 195311 New York

Profile Details

NPI number 1326045691
LBN Legal business name Eldeiry, Samer Subhi
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 8th, 2007 - about 18 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 1326045691 NPPES
New York MEDICAID 01792103

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