Sam, Mirela
Sam, Mirela is an sole proprietor health care provider with primary practice located at 1545 Atlantic Ave , Brooklyn NY 11213-1122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Sam, Mirela can be contacted via phone (718) 484-3954.Contact Information
Primary practice address
1545 Atlantic Ave
Brooklyn NY 11213-1122
Phone: (718) 484-3954
Fax: (718) 484-3955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 198399 | New York |
Profile Details
| NPI number | 1285639203 |
|---|---|
| LBN Legal business name | Sam, Mirela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285639203 | NPPES |
| New York | MEDICAID | 01587686 |
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