Pishanidar, Sammy Daniel

Pishanidar, Sammy Daniel is an individual health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Pishanidar, Sammy Daniel can be contacted via phone (718) 670-1512.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Phone: (718) 670-1512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 284204 New York

Profile Details

NPI number 1366783532
LBN Legal business name Pishanidar, Sammy Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2013
Last updated Mar 17th, 2018 - about 7 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 1366783532 NPPES
New York MEDICAID 04844877

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