NPIRadar

Mamdou Abousamra, DPM Valid NPI

Individual provider · Foot & Ankle Surgery Podiatrist · Astoria, NY

NPI
1700104056
Type
Individual (Type 1)
Primary specialty
Foot & Ankle Surgery Podiatrist (Podiatrist)
Specialty group
Podiatric Medicine & Surgery Service Providers
Taxonomy code
213ES0103X
License number
N006502 (NY)
Sex
Male
Sole proprietor
Yes
Enumerated
2010-05-11
Last updated
2019-12-31
Practice location
2519 30th Dr Ste 1l
Astoria, NY 11102-2701
(646) 421-9356

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