NPI Profile for MAMDOU ABOUSAMRA in ASTORIA, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1700104056 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 05/11/2010 | |
| Last updated | 12/31/2019 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MAMDOU ABOUSAMRA
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