Packer, Samuel

Packer, Samuel is an individual health care provider with primary practice located at 972 Brush Hollow Rd , Westbury NY 11590-1740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Packer, Samuel can be contacted via phone (516) 876-5555.

Contact Information

Primary practice address
972 Brush Hollow Rd Westbury NY 11590-1740
Phone: (516) 876-5555
Fax: (516) 873-1246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 099520 New York

Profile Details

NPI number 1528141942
LBN Legal business name Packer, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1528141942 NPPES
New York MEDICAID 00246075

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