Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1063712834 |
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| LBN Legal business name | SAMARA SPRING CHURGIN MEDICAL DOCTOR PROFESSIONAL CORPORATION | ||||
| Authorized official | SAMARA CHURGIN - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/27/2010 | ||||
| Last updated | 08/18/2025 - About 10 months ago | ||||
| Identifiers |
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| LESLIE D CUNNINGHAM, M.D., PH.D. 32 CENTRAL AVE HAUPPAUGE, NY |
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